Provider Demographics
NPI:1093362626
Name:BEAUREGARD, KAREN M (LMHC, LADC-I)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:M
Last Name:BEAUREGARD
Suffix:
Gender:F
Credentials:LMHC, LADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 STALKER LN
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-5536
Mailing Address - Country:US
Mailing Address - Phone:774-505-7788
Mailing Address - Fax:
Practice Address - Street 1:600 WORCESTER RD STE 501
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-5316
Practice Address - Country:US
Practice Address - Phone:774-505-7788
Practice Address - Fax:774-505-7789
Is Sole Proprietor?:No
Enumeration Date:2019-08-19
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA18701101YA0400X
MA10961101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)