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NPI Code Detail

MEDICARE: MRS. JENNIFER BECKER MA, LMHC

MEDICARE: MRS. JENNIFER BECKER MA, LMHC
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 Counselor001285IA

General Provider Information

NPI Number : 1184937476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER BECKER MA, LMHC
Provider Business Mailing Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-382-8660
Fax Number : 319-382-8693
Provider Business Practice Location Address
First Line : 3412 CENTER POINT RD NE
Second Line :
City : CEDAR RAPIDS
State : IA
Zip : 52402-5529
Country : US
Telephone Number : 319-382-8660
Fax Number : 319-382-8693
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2010
Last Update Date : 02/25/2022

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