Provider Demographics
NPI:1558572883
Name:BECKETT, MARSHA E (LCPC, LCADC)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:E
Last Name:BECKETT
Suffix:
Gender:F
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31491 EDEN ALLEN RD
Mailing Address - Street 2:P.O. BOX 265
Mailing Address - City:EDEN
Mailing Address - State:MD
Mailing Address - Zip Code:21822-2278
Mailing Address - Country:US
Mailing Address - Phone:410-543-1282
Mailing Address - Fax:410-543-1901
Practice Address - Street 1:31491 EDEN ALLEN RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:MD
Practice Address - Zip Code:21822-2278
Practice Address - Country:US
Practice Address - Phone:410-543-1282
Practice Address - Fax:410-543-1901
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD0485101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health