MEDICARE: MS. MARSHA E BECKETT LCPC, LCADC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	0485	MD

General Provider Information

NPI Number	:	1558572883
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARSHA E BECKETT LCPC, LCADC

Provider Business Mailing Address
First Line	:	110 W CHURCH ST STE D
Second Line	:
City	:	SALISBURY
State	:	MD
Zip	:	21801-5001
Country	:	US
Telephone Number	:	443-840-0811
Fax Number	:

Provider Business Practice Location Address
First Line	:	31491 EDEN ALLEN RD
Second Line	:
City	:	EDEN
State	:	MD
Zip	:	21822-2278
Country	:	US
Telephone Number	:	410-543-1282
Fax Number	:	410-543-1901

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	12/20/2024

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