Doctor Name: | GINA M. BECK |
NPI Number: | 1154612216 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | L.C.S.W. |
License Number: | LCS 18467 |
Business Practice Address: | 6658 Comanche Street Bonners Ferry, ID - 838057523 |
Business Phone Number: | 2082670900 |
Business Fax Number: | 2082676100 |
Mailing Address: | 6658 Comanche Street, BONNERS FERRY |
State: | ID |
Postal Code: | 838057523 |
Phone Number: | 2082670900 |
Fax Number: | 2082676100 |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 11/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 18467 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |