Individual
EILEEN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3270 KERNER BLVD STE A, SAN RAFAEL, CA 94901-4840
(415) 473-6424
Mailing address
3270 KERNER BLVD STE A, SAN RAFAEL, CA 94901-4840
(415) 473-6424
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2006
Last updated
10/03/2016
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