MR. Beaufort Addison III

NPI #1205413481 in Lithonia, Georgia

Provider Information

NPI Number
1205413481
Entity Type
Individual
Name
MR. Beaufort Addison III
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Enumeration Date
Mar 25, 2021
Last Updated
Mar 25, 2021

Practice Location

Address
5576 OAK BEND PL
State
Georgia
ZIP Code
30058-3302
Phone
(803) 664-4007

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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