Provider Demographics
NPI:1154753168
Name:BEAUPRE, KENNETH N (LMHC)
Entity type:Individual
Prefix:
First Name:KENNETH
Middle Name:N
Last Name:BEAUPRE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 IRVINGS PATH
Mailing Address - Street 2:
Mailing Address - City:NARRAGANSETT
Mailing Address - State:RI
Mailing Address - Zip Code:02882-5126
Mailing Address - Country:US
Mailing Address - Phone:401-419-5932
Mailing Address - Fax:
Practice Address - Street 1:1 IRVINGS PATH
Practice Address - Street 2:
Practice Address - City:NARRAGANSETT
Practice Address - State:RI
Practice Address - Zip Code:02882-5126
Practice Address - Country:US
Practice Address - Phone:800-273-6277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-31
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health