Individual
ROBERT BECKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
212 KENT ST STE 10, PORTLAND, MI 48875-1480
(517) 281-9350
Mailing address
6783 JENNIFER LN, PORTLAND, MI 48875-9663
(517) 281-9350
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401011316
MI
Other
Enumeration date
12/21/2018
Last updated
10/29/2023
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