Individual
KIMBERLY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
4530 NORTHERN SKY DR, BISMARCK, ND 58503
(701) 751-6336
Mailing address
4530 NORTHERN SKY DR, BISMARCK, ND 58503-8534
(701) 751-6336
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
689-6-15-11-270
ND
101YP2500X
Professional Counselor
689-6-15-11
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1458654
—
ND
Enumeration date
04/15/2014
Last updated
10/21/2019
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