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Provider Information for 1649620386


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ERIN BESKID


Sex: Female

NPI: 1649620386
Last Updated: 2020-07-24
Certification Date: 2020-07-24

Details

NameValue
NPI1649620386
Enumeration Date2016-06-14
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 209 WEST ST STE 201
ANNAPOLIS, MD 21401-3644
United States

Phone: | Fax:
 
Primary Practice Address 209 WEST ST STE 201
ANNAPOLIS, MD 21401-3644
United States

Phone: 970-328-6969 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YM0800X - Counselor - Mental HealthMDLC10116
No 101YM0800X - Counselor - Mental HealthMTBBH-LCPC-LIC-30835
No 106S00000X - Behavior Technician WYRBT-19-93615
Yes 101YM0800X - Counselor - Mental HealthCONLC.0104360