Provider Demographics
NPI:1821730086
Name:BECK, ASHLEE (LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEE
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 SUGAR MAPLE LN APT 16
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63303-5758
Mailing Address - Country:US
Mailing Address - Phone:217-550-7718
Mailing Address - Fax:
Practice Address - Street 1:5 SUGAR MAPLE LN APT 16
Practice Address - Street 2:
Practice Address - City:SAINT CHARLES
Practice Address - State:MO
Practice Address - Zip Code:63303-5758
Practice Address - Country:US
Practice Address - Phone:217-550-7718
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-08
Last Update Date:2022-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178016720101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL178016720OtherILLINOIS DEPT OF FINANCIAL & PROFESSIONAL REGULATION