Doctor Name: | FRANCIS RUSSELL BECK |
NPI Number: | 1093921678 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 134309-6004 |
Business Practice Address: | 338 S 300 E Ephraim, UT - 846271420 |
Business Phone Number: | 4352834305 |
Business Fax Number: | |
Mailing Address: | 338 S 300 E, EPHRAIM |
State: | UT |
Postal Code: | 846271420 |
Phone Number: | 4352834305 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 134309-6004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |