Individual provider · Type 1 NPI
Mary Lenore Becker, LCSW
Mental Health Counselor · San Jose, CA
NPI number
1124189568
Active
Practice location
2625 Zanker Rd, 101
San Jose, CA 95134
Fax (408) 944-0468
Mailing address
P. O. Box 1906
Los Gatos, CA 95031
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LCS10660 (CA) |
Mental Health Counselor: Definition to come...
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About NPI 1124189568
Mary Lenore Becker, LCSW's National Provider Identifier is 1124189568, issued on Dec 12, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.