Individual
KEVIN BECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
145 S VIRGINIA ST STE 3, CRYSTAL LAKE, IL 60014-7226
(815) 444-9999
Mailing address
1830 BURR RIDGE DR, HOFFMAN ESTATES, IL 60192-1518
(302) 502-0592
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/26/2018
Last updated
03/26/2018
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