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NPI Code Detail

MEDICARE: BECKY LYNN GRENFELL LPCC

MEDICARE: BECKY LYNN GRENFELL 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
1101YM0800XMental Health CounselorLPCC3289CA
2101YM0800XMental Health CounselorLH60805759WA
3101YP2500XProfessional CounselorLPCC3289CA

General Provider Information

NPI Number : 1780994251
Entity Type Code : Individual
Provider Name (Legal Business Name) : BECKY LYNN GRENFELL LPCC
Provider Business Mailing Address
First Line : 5012 CHESEBRO RD STE 200
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2287
Country : US
Telephone Number : 614-943-0819
Fax Number :
Provider Business Practice Location Address
First Line : 5012 CHESEBRO RD STE 200
Second Line :
City : AGOURA HILLS
State : CA
Zip : 91301-2287
Country : US
Telephone Number : 614-943-0819
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2010
Last Update Date : 04/24/2024

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Directions to “ BECKY LYNN GRENFELL LPCC” Practice Location

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