| NPI | 1760154330 |
|---|---|
| Doing Business As | BEAUREGARD THERAPY |
| Former Legal Business Name | JONATHAN G. BEAUREGARD LMFT LLC |
| Entity Type | Organization |
| Authorized Contact | JONATHAN GEORGE BEAUREGARD Owner 909-855-0348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2022-06-21 |