Individual
SUSAN D BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHP
Contact information
Practice address
3720 AVENUE A, SUITE E, KEARNEY, NE 68847-8169
(308) 237-4739
(308) 237-0367
Mailing address
3720 AVENUE A, SUITE E, KEARNEY, NE 68847-8169
(308) 237-4739
(308) 237-0367
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7821
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
470805187-01
—
NE
Enumeration date
11/22/2006
Last updated
07/08/2007
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