Individual
CARLA BECROFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW LICDC
Contact information
Practice address
118 MAPLE AVENUE, BELLEFONTAINE, OH 43311
(937) 599-1975
(937) 599-2769
Mailing address
PO BOX 670, 118 MAPLE AVENUE, BELLEFONTAINE, OH 43311
(937) 599-1975
(937) 599-2769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
943910
OH
104100000X
Social Worker
Primary
I0005766
OH
Other
Enumeration date
09/06/2007
Last updated
09/06/2007
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