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Individual

BENNJAMIN FULTON BECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PLADC

Contact information

Practice address
721 K ST, LINCOLN, NE 68508-2949
(402) 477-3951
Mailing address
3320 RIDGE PARK DR APT 133, LINCOLN, NE 68504-4662
(402) 730-4074

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
P-973
NE

Other

Enumeration date
04/15/2011
Last updated
04/15/2011
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