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Individual
JENNIFER MARIE BECKETT
Active
Individual
JENNIFER MARIE BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CI37810323
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A054210125
CA
225700000X
Massage Therapist
28346
CA
Other
Enumeration date
08/19/2021
Last updated
07/23/2026
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