Individual
MATTNI BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1954 E RICHARDS ST STE 9&10, DOUGLAS, WY 82633-3089
(307) 222-3042
Mailing address
1954 E RICHARDS ST STE 9&10, DOUGLAS, WY 82633-3089
(307) 222-3042
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
1306
WY
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
08/09/2018
Last updated
06/05/2023
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