Individual
BRIAN BECKHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCADC
Contact information
Practice address
501 BAXTER AVE, LOUISVILLE, KY 40204-1103
(502) 233-3290
(502) 470-5915
Mailing address
501 BAXTER AVE, LOUISVILLE, KY 40204-1103
(502) 233-3290
(502) 470-5915
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
171338
KY
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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