Provider Demographics
NPI:1720674310
Name:BECKER, VALERIE S (LLPC)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:S
Last Name:BECKER
Suffix:
Gender:F
Credentials:LLPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13395 PATCHIN DR
Mailing Address - Street 2:
Mailing Address - City:NUNICA
Mailing Address - State:MI
Mailing Address - Zip Code:49448-9314
Mailing Address - Country:US
Mailing Address - Phone:586-855-8601
Mailing Address - Fax:
Practice Address - Street 1:1145 W RANDALL ST STE 2A
Practice Address - Street 2:
Practice Address - City:COOPERSVILLE
Practice Address - State:MI
Practice Address - Zip Code:49404-1393
Practice Address - Country:US
Practice Address - Phone:616-361-5001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-17
Last Update Date:2020-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401015878101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional