Individual
MR. DOMINIC BEAUFEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., APC
Contact information
Practice address
365 NORTHRIDGE RD, ATLANTA, GA 30350-3207
(770) 771-6900
Mailing address
332 HIGHLAND PARK TRL, SANDY SPRINGS, GA 30350-3395
(928) 240-3124
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/22/2020
Last updated
03/31/2021
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