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Organization

CARLYN BECKER THERAPY SERVICES

Active
Parent organization
CARLYN BECKER THERAPY SERVICES
Other names
Carlyn Becker Therapy Services
Organization subpart
Yes

Provider details

NPI number
Legal business name
CARLYN BECKER THERAPY SERVICES
Authorized official
MS. CARLYN BECKER MPS, LADC, LPCC (OWNER)
(763) 438-4619
Entity
Organization

Contact information

Practice address
25210 HAZELWOOD DR, NISSWA, MN 56468-2797
(218) 821-1208
Mailing address
25210 HAZELWOOD DR, NISSWA, MN 56468-2797
(763) 438-4619

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
303742
MN
251S00000X
Community/Behavioral Health Agency
Primary
CC01826
MN

Other

Enumeration date
07/13/2018
Last updated
03/20/2023
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