| NPI | 1548659618 |
|---|---|
| Other Name | BECKER-GIBEAU PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | VICTORIA IRENE MILLER SEPULVEDA Counselor 419-377-5836 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WI 5482-125) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: WI 5482-125) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 15861-132) | |
| Enumeration Date | 2015-01-13 |
| Last Update Date | 2015-01-14 |