Healthcare Provider Details

I. General information

NPI: 1700298353
Provider Name (Legal Business Name): CHRISTINE BEAUDREAU LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CHRISTINE BEAUDREAU LCMHC

II. Dates (important events)

Enumeration Date: 05/29/2014
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 S BARNSTEAD RD UNIT A
CENTER BARNSTEAD NH
03225-3630
US

IV. Provider business mailing address

39 S BARNSTEAD RD UNIT A
CENTER BARNSTEAD NH
03225-3630
US

V. Phone/Fax

Practice location:
  • Phone: 603-435-3808
  • Fax:
Mailing address:
  • Phone: 603-435-3808
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number1976
License Number StateNH
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: