Individual
MR. LARRY E BEAUCHAMP JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.S., LMFT
Contact information
Practice address
1841 HONEYSUCKLE RD, DOTHAN, AL 36305-4269
(334) 794-2113
(334) 702-1220
Mailing address
1841 HONEYSUCKLE RD, DOTHAN, AL 36305-4269
(334) 794-2113
(334) 702-1220
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
AL
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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