Provider Demographics
NPI:1174926414
Name:BEAUDOIN, CHRISTINE (LMFT)
Entity type:Individual
Prefix:
First Name:CHRISTINE
Middle Name:
Last Name:BEAUDOIN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:
Other - Last Name:CORRADO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:85 SOUTH RIVER ROAD STE 1
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6774
Mailing Address - Country:US
Mailing Address - Phone:603-714-5993
Mailing Address - Fax:603-471-3504
Practice Address - Street 1:85 SOUTH RIVER ROAD STE 1
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6774
Practice Address - Country:US
Practice Address - Phone:603-714-5993
Practice Address - Fax:603-471-3504
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-01
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10006106H00000X
NH315106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist