Individual
BAINE BECKERICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
181 MAIN ST, HUNTINGTON, NY 11743
(516) 205-1118
Mailing address
181 MAIN ST, HUNTINGTON, NY 11743-6918
(516) 205-1118
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
001002
NY
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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