Individual
JULIE BECCACIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPT
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 268-2990
Mailing address
PO BOX 607, BLUE LAKE, CA 95525-0607
(707) 630-2466
Taxonomy
Speciality
Code
Description
License number
State
167G00000X
Licensed Psychiatric Technician
Primary
36299
CA
Other
Enumeration date
04/07/2021
Last updated
04/07/2021
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