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Carlyn Becker
Professional Counselor in Nisswa, Minnesota
NPI 1194185728

Carlyn Becker is a Professional Counselor based in Nisswa, MN and is specialized in Professional. Carlyn Becker practices in Nisswa, MN. The NPI Number for Carlyn Becker is 1194185728 and holds a License No. 303742 (Minnesota).

The current practice location address for Carlyn Becker is 25210 Hazelwood Dr, Nisswa, MN and can be reached out via phone at 763-438-4619.

Location: 25210 Hazelwood Dr, Nisswa, MN, 56468-2797
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194185728
Provider Name
Carlyn Becker
Credential
Provider Entity Type
Individual
Gender
Female
Address
25210 Hazelwood Dr, Nisswa, MN, 56468-2797
Phone Number
763-438-4619
Fax Number
Provider Enumeration Date
02/24/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
25210 Hazelwood Dr
City
Nisswa
State
Minnesota
Zip
56468-2797
Phone Number
763-438-4619
Fax Number
person
Provider Business Mailing Address Details
Address
25210 Hazelwood Dr
City
Nisswa
State
Minnesota
Zip
56468-2797
Phone Number
763-438-4619
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CC01826 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
303742 (Minnesota)
Definition
Definition to come...
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