MEDICARE: BRIAN SCOTT BECHER BA, SUDCC

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	8252	CA

General Provider Information

NPI Number	:	1689212029
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIAN SCOTT BECHER BA, SUDCC

Provider Business Mailing Address
First Line	:	4511 E ANAHEIM ST APT 3
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3118
Country	:	US
Telephone Number	:	562-507-9896
Fax Number	:

Provider Business Practice Location Address
First Line	:	4427 E ANAHEIM ST # B
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90804-3115
Country	:	US
Telephone Number	:	562-361-7382
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/17/2019
Last Update Date	:	12/17/2019

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