John A Becker, M.A. LLMFT
Individual provider Active NPI Marriage & Family Therapist · Canton, MI
NPI 1851410591 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1851410591
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 4101006353 (MI)
- Practice address
- 43825 Michigan Ave
Canton, MI 48188-2551 - Phone
- (734) 397-3088
- NPI assigned
- Mar 27, 2007
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4101006353 | MI | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 4101006353 | MI | Yes |
Addresses
Primary practice location
43825 Michigan Ave
Canton, MI 48188-2551
Mailing address
43825 Michigan Ave
Canton, MI 48188-2551
Phone (734) 397-3088
Other providers in Canton, MI
- Nader Bazzi
- Rima Bazzi
- Beacon Hospice of Michigan LP
- Octavia Beal
- Tabithia Beavers
- Madeline M Becker
- Saundra Beden
- Kathryn Petrowski Bedikian
- Jerome Bekker
- Allison Bell
All providers in Canton, MI · Marriage & Family Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.