Individual
NATHAN J BEAULIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ALC
Contact information
Practice address
190 LIME QUARRY RD STE 111, MADISON, AL 35758-8975
(256) 278-2802
(256) 325-0744
Mailing address
8220 OLD MADISON PIKE, MADISON, AL 35758-1225
(256) 690-8233
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3574
AL
Other
Enumeration date
06/15/2021
Last updated
04/02/2024
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