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Individual

JOSEPH GEORGE BECKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC, LSW

Contact information

Practice address
7905 N MEADOWLARK WAY, SUITE C, COEUR D ALENE, ID 83815-5041
(208) 762-3979
(208) 762-4419
Mailing address
7905 N MEADOWLARK WAY, SUITE C, COEUR D ALENE, ID 83815-5041
(208) 762-3979
(208) 762-4419

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCPC-3435
ID

Other

Enumeration date
09/20/2006
Last updated
07/09/2007
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