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General NPI Number Information
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NPI Number | 1548704166
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Entity Type | Individual
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Provider Name | AMY BECK MACL, LPC
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Gender | Female
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Dates
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Enumeration Date | 12/16/2016
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Last Update Date | 05/02/2022
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Provider Practice Location Address
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Address Line | 11628 OLD BALLAS RD STE 207
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City | CREVE COEUR
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State | MO
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Zip | 63141-7030
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Country | US
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Telephone | 314-329-8608
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Fax |
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Provider Business Mailing Address
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Address Line | 2859 FOXWOOD DR
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City | MARYLAND HEIGHTS
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State | MO
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Zip | 63043-1767
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Country | US
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Telephone | 314-799-6899
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2015009899
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License Number State | MO
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