Individual
KIMBERLY RACHELLE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3731 AFFIRMED DR, FLORISSANT, MO 63034-3312
(314) 954-0277
Mailing address
3731 AFFIRMED DR, FLORISSANT, MO 63034-3312
(314) 954-0277
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2514
MO
101YM0800X
Mental Health Counselor
2004015206
MO
101YP2500X
Professional Counselor
Primary
2004015206
MO
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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