John C Becker Jr., LPC

Individual provider Active NPI Professional Counselor · Willow Grove, PA

NPI 1508522830 · NPPES record last updated Nov 10, 2021

Key facts

NPI
1508522830
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
PC011991 (PA)
Practice address
1003 Easton Rd
Willow Grove, PA 19090-2027
Phone
(215) 833-1572
NPI assigned
Nov 10, 2021
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PC011991PAMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011991 PA Yes

Addresses

Primary practice location

1003 Easton Rd
Willow Grove, PA 19090-2027

Mailing address

1270 Barness Dr
Warminster, PA 18974-1903
Phone (215) 833-1572

Electronic endpoints

TypeEndpointUseAffiliation
Other URL https://guardian-recovery.clientsecure.me Other

Other providers in Willow Grove, PA

All providers in Willow Grove, PA · Professional Counselor in Pennsylvania

Sources for this page

Verify at the official NPI Registry.