Individual
KIMBERLY BECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
39 W. PINE AVE, MERIDIAN, ID 83642
(208) 805-0547
Mailing address
PO BOX 1645, MERIDIAN, ID 83680
(208) 805-0547
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-3993
ID
Other
Enumeration date
11/17/2015
Last updated
05/22/2018
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