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General NPI Number Information
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NPI Number | 1558572883
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Entity Type | Individual
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Provider Name | MARSHA E BECKETT LCPC, LCADC
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Gender | Female
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 12/20/2024
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Provider Practice Location Address
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Address Line | 31491 EDEN ALLEN RD
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City | EDEN
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State | MD
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Zip | 21822-2278
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Country | US
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Telephone | 410-543-1282
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Fax | 410-543-1901
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Provider Business Mailing Address
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Address Line | 110 W CHURCH ST STE D
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City | SALISBURY
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State | MD
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Zip | 21801-5001
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Country | US
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Telephone | 443-840-0811
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 0485
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License Number State | MD
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