Provider Demographics
NPI:1629027230
Name:BECK, JULIE R (MC, LPC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:R
Last Name:BECK
Suffix:
Gender:F
Credentials:MC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:
Mailing Address - City:DEWEY
Mailing Address - State:AZ
Mailing Address - Zip Code:86327-0640
Mailing Address - Country:US
Mailing Address - Phone:928-255-8218
Mailing Address - Fax:
Practice Address - Street 1:2651 N INDUSTRIAL WAY STE O
Practice Address - Street 2:
Practice Address - City:PRESCOTT VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:86314-3545
Practice Address - Country:US
Practice Address - Phone:928-255-8218
Practice Address - Fax:866-927-7068
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-09
Last Update Date:2012-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-2435101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional