Provider Demographics
NPI:1396968285
Name:GENET, BECKIE
Entity type:Individual
Prefix:
First Name:BECKIE
Middle Name:
Last Name:GENET
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2094 E GRAND AVE
Mailing Address - Street 2:52
Mailing Address - City:ESCONDIDO
Mailing Address - State:CA
Mailing Address - Zip Code:92027-3407
Mailing Address - Country:US
Mailing Address - Phone:760-696-1717
Mailing Address - Fax:
Practice Address - Street 1:130 N FIG ST
Practice Address - Street 2:
Practice Address - City:ESCONDIDO
Practice Address - State:CA
Practice Address - Zip Code:92025-3415
Practice Address - Country:US
Practice Address - Phone:760-317-9108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2013-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)