| Doctor Name: | MS. ELAINE JULIA BEAUDOIN |
| NPI Number: | 1205936846 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICSW,LADC |
| License Number: | 2208 |
| Business Practice Address: | 238 Northampton St Easthampton, MA - 010271046 |
| Business Phone Number: | 4135299300 |
| Business Fax Number: | 4132823880 |
| Mailing Address: | Po Box 5700, BELFAST |
| State: | ME |
| Postal Code: | 049155700 |
| Phone Number: | 8664314077 |
| Fax Number: | 4137747448 |
| NPI Enumeration Date: | 09/24/2006 |
| NPI Last Update Date: | 04/13/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 2208 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |