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1902357189
SHANNON LEE BEAUCHAMP
NEWPORT BEACH, CA
NPI
1902357189
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA A021560216)
Enumeration Date
2016-10-21
Last Update Date
2016-10-21
Business Address
-- SHANNON LEE BEAUCHAMP CADCII, ICADC
3101 W COAST HWY STE. 200
NEWPORT BEACH, CA 92663-4001
Phone number: 619-715-9408
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Mailing Address
-- SHANNON LEE BEAUCHAMP CADCII, ICADC
3419 VIA LIDO STE. 241
NEWPORT BEACH, CA 92663-3908
Phone number: 619-715-9408
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