Individual
MRS. DETRA RENEE BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
905 MONTGOMERY ST, DECORAH, IA 52101-2325
(563) 382-3649
Mailing address
1377 BIG CANOE RD, DECORAH, IA 52101-7420
(219) 916-8577
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1740854
IA
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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