Individual
MRS. JEANNIE KAYE BEAUSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, NCSC, NBCC
Contact information
Practice address
202 VILLAGE CIR STE 3, SLIDELL, LA 70458-5374
(985) 502-0264
Mailing address
39139 SAINT JUDE DR, PEARL RIVER, LA 70452-5639
(985) 502-0264
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1942
LA
Other
Enumeration date
12/12/2014
Last updated
12/12/2014
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