Individual provider · Type 1 NPI

Dominique Marion Beauvais

Mental Health Counselor · San Diego, CA

NPI number 1891274098 Active

Practice location

1260 Morena Blvd Ste 100
San Diego, CA 92110

Other practice locations

  • 237 26th St, Ogden, UT 84401-3105 · (801) 625-3700
  • 237 26th St, Ogden, UT 84401-3105 · (801) 625-3700

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1891274098

Dominique Marion Beauvais's National Provider Identifier is 1891274098, issued on Aug 8, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Diego, CA. The record was last updated on Nov 28, 2018.