Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A9992 | NC |
NPI | 1003258880 |
---|---|
Provider Name | Mrs. Allison Lindsay Becker |
First Address | Charlotte, NC 28277-4160 |
Second Address | Matthews, NC 28105-5545 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2013 |
Last Update Date | 22/07/2013 |