Kimberly Beck
Counselor, Professional in Ravenna, OH. Individual provider (NPI-1).
NPI number1295962355
StatusActive
Last updated in NPPESNov 24, 2021
Details
- NPI
- 1295962355
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Beck
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 16, 2009
- Certification date
- Nov 24, 2021
- Last updated
- Nov 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | E.0700073-SUPV | OH | Yes |
| 101YM0800X | Counselor, Mental Health | C0500062 | OH | |
| 104100000X | Social Worker | S0024550 | OH |
Other names
- Kimberly Beck (Former Name)
Practice location
6847 N Chestnut StRavenna, OH 44266-3929
Phone 303-577-5881
Mailing address
6847 N Chestnut StRavenna, OH 44266-3929
Phone 303-577-5881
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