Individual
MRS. PAULA MOTT BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LP
Contact information
Practice address
17305 CEDAR AVE SOUTH, SUITE 230, LAKEVILLE, MN 55044
(952) 435-4144
(952) 435-4149
Mailing address
17305 CEDAR AVE SOUTH, SUITE 230, LAKEVILLE, MN 55044
(952) 435-4144
(952) 435-4149
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LP2617
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01026803
PREFERRED ONE
MN
01
—
35Q96BE
BLUE CROSS
MN
01
—
6273355
MEDICA
MN
Enumeration date
10/27/2006
Last updated
07/08/2007
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