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1336113612
TODD LOUIS BEACHNAU
NEWPORT, OR
NPI
1336113612
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR C1250)
Enumeration Date
2006-02-14
Last Update Date
2007-07-08
Business Address
TODD LOUIS BEACHNAU LPC
36 SW NYE ST
NEWPORT, OR 97365-3821
Phone number: 541-265-6611
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Mailing Address
TODD LOUIS BEACHNAU LPC
179 NE BRUBACKER ST
YACHATS, OR 97498-9433
Phone number: 541-547-4326
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