Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | 316 | CO |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 2784 | CO |
NPI | 1003032020 |
---|---|
Provider Name | Elizabeth Anne Beck |
First Address | Colorado Springs, CO 80917-5329 |
Second Address | Colorado Springs, CO 80917-5329 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2007 |
Last Update Date | 08/07/2007 |