Individual provider · Type 1 NPI
Shannon Lee Beauchamp, CADCII, ICADC
Addiction (Substance Use Disorder) Counselor · Newport Beach, CA
NPI number
1902357189
Active
Practice location
3101 W Coast Hwy, Ste. 200
Newport Beach, CA 92663-4001
Mailing address
3419 Via Lido, Ste. 241
Newport Beach, CA 92663-3908
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A021560216 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1902357189
Shannon Lee Beauchamp, CADCII, ICADC's National Provider Identifier is 1902357189, issued on Oct 21, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newport Beach, CA. The record was last updated on Oct 21, 2016.