Individual
MS. STACEY MELISSA BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-14001
AZ
101YP2500X
Professional Counselor
Primary
LPC-16160
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163452
—
AZ
Enumeration date
05/07/2013
Last updated
05/10/2017
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