Individual
CHRISTINA ELISE BECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4404 S FLORIDA AVE, LAKELAND, FL 33813-2169
(863) 709-8110
Mailing address
660 S CENTRAL AVE, BARTOW, FL 33830-4627
(863) 430-7539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
IMH17461
FL
101YM0800X
Mental Health Counselor
Primary
IMH18461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IMH17461
REGISTERED LMHC INTERN
FL
Enumeration date
11/03/2018
Last updated
11/03/2018
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