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Individual

KENNETH PAUL BECKER

Active
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Individual

KENNETH PAUL BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1035173-1-CDT
MN
101YP2500X
Professional Counselor
Primary
520
MN

Other

Enumeration date
11/29/2010
Last updated
09/22/2021
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