Provider Demographics
NPI:1942428339
Name:BECKER, GENEVIEVE LEE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:GENEVIEVE
Middle Name:LEE
Last Name:BECKER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35784 HIGHLAND DR W
Mailing Address - Street 2:
Mailing Address - City:WISHON
Mailing Address - State:CA
Mailing Address - Zip Code:93669-9741
Mailing Address - Country:US
Mailing Address - Phone:559-641-5311
Mailing Address - Fax:
Practice Address - Street 1:40459 HIGHWAY 41
Practice Address - Street 2:SUITE 7
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9661
Practice Address - Country:US
Practice Address - Phone:559-683-4889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC32769106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist