IndividualActive
Brenda Beauregard, LCDP
NPI 1659409647 · Addiction (Substance Use Disorder) Counselor · Pawtucket, RI
Provider details
- NPI number
- 1659409647
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCDP
- Sex
- Male
- Sole proprietor
- No
- License
- LCDP345 (RI)
Practice location
249 Roosevelt Ave
Pawtucket, RI 02860-2134
Phone: (401) 724-8400
Fax: (401) 365-1100
Mailing address
249 Roosevelt Ave
Pawtucket, RI 02860-2134
Registry dates
- Enumerated
- 2007-03-01
- Last updated
- 2007-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.