Jessica Lynn Beckett, LPC

NPI #1255540027 in Portage, Wisconsin

Provider Information

NPI Number: 1255540027
Entity Type: Individual
Name: Jessica Lynn Beckett, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: May 21, 2007
Last Updated: Nov 12, 2012

Practice Location

Address: 317 DEWITT ST
City: Portage
State: Wisconsin
ZIP Code: 53901-2155
Phone: (608) 617-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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