Doctor Name: | MARGARET W BECKER |
NPI Number: | 1295735421 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW,CSAC |
License Number: | 0710000282 |
Business Practice Address: | 12866 Harbor Dr Lake Ridge, VA - 221922921 |
Business Phone Number: | 7039272915 |
Business Fax Number: | 7024904906 |
Mailing Address: | 7321 Monticello Blvd, SPRINGFIELD |
State: | VA |
Postal Code: | 221504134 |
Phone Number: | 7039272915 |
Fax Number: | 7034904906 |
NPI Enumeration Date: | 07/29/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 03/22/2006 |
NPI Reactivation Date: | 04/06/2006 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0710000282 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | VA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |