| Doctor Name: | JACQUELINE FEDASH BECK |
| NPI Number: | 1285862458 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS, LPC |
| License Number: | 7076 |
| Business Practice Address: | 154 Beacon Dr Suite I Winterville, NC - 285907860 |
| Business Phone Number: | 2523531114 |
| Business Fax Number: | 2523531119 |
| Mailing Address: | 154 Beacon Dr, Suite I WINTERVILLE |
| State: | NC |
| Postal Code: | 285907860 |
| Phone Number: | 2523531114 |
| Fax Number: | 2523531119 |
| NPI Enumeration Date: | 06/26/2009 |
| NPI Last Update Date: | 11/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7076 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |