Individual
MARCUS BEAUCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Mailing address
13925 INTERURBAN AVE S STE 120, TUKWILA, WA 98168-5718
(206) 948-0096
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/14/2019
Last updated
06/23/2023
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