Most Relevant Information
Provider Data
| NPI Number: | 1003569963 |
| Provider Name: | DANIEL LUCAS BECKNER ADC-IP |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/01/2022 |
| Last Updated: | 02/01/2022 |
Provider Practice Location
157 BROZZINI CT STE A
GREENVILLE
SC
296155340
Practice Location Phone/Fax
| Phone: | 8008056989 |
| Fax: |
Provider Mailing Location
157 BROZZINI CT STE A
GREENVILLE
SC
296155340
Provider Mailing Phone/Fax
| Phone: | 8008056989 |
| Fax: |