Individual
MR. THOMAS C BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED SUBSTANCE
Contact information
Practice address
3240 JACKSON ST, OSHKOSH, WI 54901
(920) 231-0143
(920) 231-4246
Mailing address
3240 JACKSON ST, OSHKOSH, WI 54901
(920) 231-0143
(920) 231-4246
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
874132
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39318600
—
WI
Enumeration date
03/04/2008
Last updated
01/29/2020
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