Individual
CHAYLA A.M. BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
910 16TH AVE STE 120, LONGVIEW, WA 98632-2374
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(360) 200-6736
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61225017
WA
175T00000X
Peer Specialist
Primary
61225017
WA
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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