Provider Demographics
NPI:1093921678
Name:BECK, FRANCIS RUSSELL JR (LPC)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:RUSSELL
Last Name:BECK
Suffix:JR
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:338 S 300 E
Mailing Address - Street 2:
Mailing Address - City:EPHRAIM
Mailing Address - State:UT
Mailing Address - Zip Code:84627-1420
Mailing Address - Country:US
Mailing Address - Phone:435-283-4305
Mailing Address - Fax:
Practice Address - Street 1:338 S 300 E
Practice Address - Street 2:
Practice Address - City:EPHRAIM
Practice Address - State:UT
Practice Address - Zip Code:84627-1420
Practice Address - Country:US
Practice Address - Phone:435-283-4305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT134309-6004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health