Marcus Beauchamp
Peer Specialist in Tukwila, WA. Individual provider (NPI-1).
NPI number1962044701
StatusActive
Last updated in NPPESJun 23, 2023
Details
- NPI
- 1962044701
- Entity type
- Individual (NPI-1)
- Name
- Marcus Beauchamp
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 14, 2019
- Certification date
- Jun 23, 2023
- Last updated
- Jun 23, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
13925 Interurban Ave S Ste 120Tukwila, WA 98168-5718
Phone 206-948-0096
Mailing address
13925 Interurban Ave S Ste 120Tukwila, WA 98168-5718
Phone 206-948-0096
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