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NPI Code Detail

MEDICARE: MARY-CATHERINE BECK LPCC

MEDICARE: MARY-CATHERINE BECK LPCC
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
1101YP2500XProfessional CounselorE1700026OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083164925
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY-CATHERINE BECK LPCC
Provider Business Mailing Address
First Line : 625 CLEVELAND AVE NW
Second Line :
City : CANTON
State : OH
Zip : 44702-1805
Country : US
Telephone Number : 330-455-0374
Fax Number : 330-455-2101
Provider Business Practice Location Address
First Line : 130 1ST ST NW
Second Line :
City : MASSILLON
State : OH
Zip : 44647-5452
Country : US
Telephone Number : 330-833-0234
Fax Number : 330-837-7705
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 04/27/2021

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Directions to “ MARY-CATHERINE BECK LPCC” Practice Location

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