Individual
MISTY BECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
4929 N 95TH CIR, OMAHA, NE 68134-2644
(402) 657-7837
Mailing address
4929 N 95TH CIR, OMAHA, NE 68134-2644
(402) 657-7837
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
10350
NE
101YA0400X
Addiction (Substance Use Disorder) Counselor
10350
NE
101YM0800X
Mental Health Counselor
10350
NE
101YP2500X
Professional Counselor
Primary
10350
NE
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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