Provider Demographics
NPI:1437817129
Name:FIRST STEPS ADDICTION COUNSELING AND PSYCHIATRY PC
Entity type:Organization
Organization Name:FIRST STEPS ADDICTION COUNSELING AND PSYCHIATRY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEAUCHAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:949-584-5957
Mailing Address - Street 1:8441 N MILLBROOK AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-2199
Mailing Address - Country:US
Mailing Address - Phone:559-558-8903
Mailing Address - Fax:
Practice Address - Street 1:8441 N MILLBROOK AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2199
Practice Address - Country:US
Practice Address - Phone:559-558-8903
Practice Address - Fax:559-593-7638
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-30
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty