Provider Demographics
NPI:1558779553
Name:CAPEL, BECKY (LCPC)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:CAPEL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-3767
Mailing Address - Country:US
Mailing Address - Phone:301-777-2858
Mailing Address - Fax:301-777-5616
Practice Address - Street 1:610 MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3767
Practice Address - Country:US
Practice Address - Phone:301-777-2858
Practice Address - Fax:301-777-5616
Is Sole Proprietor?:No
Enumeration Date:2014-07-23
Last Update Date:2014-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5808101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor