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NPI Code Detail

MEDICARE: RYAN JOESPH BEECHING M.A. IN COUNSELING

MEDICARE: RYAN JOESPH BEECHING M.A. IN COUNSELING
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1063829943
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN JOESPH BEECHING M.A. IN COUNSELING
Provider Business Mailing Address
First Line : 6520 W 100 N
Second Line :
City : ANDREWS
State : IN
Zip : 46702-9428
Country : US
Telephone Number : 260-519-3661
Fax Number :
Provider Business Practice Location Address
First Line : 1415 MAGNAVOX WAY
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-1565
Country : US
Telephone Number : 260-483-7207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2014
Last Update Date : 12/15/2025

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