Provider Demographics
NPI:1194458471
Name:BECK, MARISA (MS, RESIDENT IN MFT)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:BECK
Suffix:
Gender:F
Credentials:MS, RESIDENT IN MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1823 N UNDERWOOD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1819
Mailing Address - Country:US
Mailing Address - Phone:571-349-0797
Mailing Address - Fax:
Practice Address - Street 1:105 N VIRGINIA AVE STE 203
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3323
Practice Address - Country:US
Practice Address - Phone:434-202-4080
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-05
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health