Provider Demographics
NPI:1023259868
Name:BECKER, CAROLINE (MA, LMHC)
Entity type:Individual
Prefix:MS
First Name:CAROLINE
Middle Name:
Last Name:BECKER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2515 4TH AVE
Mailing Address - Street 2:SUITE 1001
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98121-1474
Mailing Address - Country:US
Mailing Address - Phone:206-679-9782
Mailing Address - Fax:206-728-7208
Practice Address - Street 1:2515 4TH AVE
Practice Address - Street 2:SUITE 1001
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1474
Practice Address - Country:US
Practice Address - Phone:206-679-9782
Practice Address - Fax:206-728-7208
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60017480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health