Provider Demographics
NPI:1295435709
Name:PATRICK BECKER, REBEKAH JO (LPC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JO
Last Name:PATRICK BECKER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:JO
Other - Last Name:PATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:785 5TH AVENUE
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-4232
Mailing Address - Country:US
Mailing Address - Phone:717-263-9555
Mailing Address - Fax:717-709-6529
Practice Address - Street 1:780 EDEN RD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-4275
Practice Address - Country:US
Practice Address - Phone:717-735-7770
Practice Address - Fax:717-735-7779
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC014703101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA15891549OtherCAQH