Courtney Lee Beauregard, LPC
Counselor, Mental Health in Bangor, ME. Individual provider (NPI-1).
NPI number1922257518
StatusActive
Last updated in NPPESDec 13, 2023
Details
- NPI
- 1922257518
- Entity type
- Individual (NPI-1)
- Name
- Courtney Lee Beauregard
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 18, 2008
- Certification date
- Dec 13, 2023
- Last updated
- Dec 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
11 Ohio StBangor, ME 04401-4760
Phone 508-250-3733
Mailing address
11 Ohio StBangor, ME 04401-4760
Phone 508-250-3733
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