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NPI Code Detail

MEDICARE: CHRISTINE MARIE BECKNER LMFT

MEDICARE:   CHRISTINE MARIE BECKNER  LMFT
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 : 1548816358
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINE MARIE BECKNER LMFT
Provider Business Mailing Address
First Line : 29 RENWICK HEIGHTS RD
Second Line :
City : ITHACA
State : NY
Zip : 14850-2143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 29 RENWICK HEIGHTS RD
Second Line :
City : ITHACA
State : NY
Zip : 14850-2143
Country : US
Telephone Number : 707-631-1869
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/16/2019
Last Update Date : 04/28/2023

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Directions to “ CHRISTINE MARIE BECKNER LMFT” Practice Location

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