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Organization

BEAUMONT COUNSELING SERVICES, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN DAVID BEAUMONT LPC (OWNER)
(803) 422-0035
Entity
Organization

Contact information

Practice address
5211 N TRENHOLM RD, COLUMBIA, SC 29206-4815
(803) 422-0035
Mailing address
455 VIRGINIA ST, COLUMBIA, SC 29201-4645
(803) 422-0035

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
5017
SC
101YM0800X
Mental Health Counselor
Primary
5017
SC
101YP2500X
Professional Counselor
5017
SC

Other

Enumeration date
06/15/2012
Last updated
06/15/2012
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