Individual
STEPHANIE R BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC,LSW
Contact information
Practice address
145 LISBON ST, SUITE 606, LEWISTON, ME 04240-7235
(207) 939-1650
Mailing address
145 LISBON ST, SUITE 606, LEWISTON, ME 04240-7235
(207) 939-1650
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4141
ME
104100000X
Social Worker
LSX10633
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
201215
ANTHEM
ME
05
—
432552599
—
ME
Enumeration date
06/12/2008
Last updated
07/14/2008
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