Individual
KIMBERLY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(303) 577-5881
Mailing address
6847 N CHESTNUT ST, RAVENNA, OH 44266-3929
(303) 577-5881
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C0500062
OH
101YP2500X
Professional Counselor
Primary
E.0700073-SUPV
OH
104100000X
Social Worker
S0024550
OH
Other
Enumeration date
06/16/2009
Last updated
11/24/2021
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