Provider Demographics
NPI:1861616005
Name:BECKSTEIN, AMONEETA S (MHP, BA)
Entity type:Individual
Prefix:MR
First Name:AMONEETA
Middle Name:S
Last Name:BECKSTEIN
Suffix:
Gender:M
Credentials:MHP, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:186 GATES RD
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:IL
Mailing Address - Zip Code:62975-2506
Mailing Address - Country:US
Mailing Address - Phone:618-559-4125
Mailing Address - Fax:
Practice Address - Street 1:408 E VINE ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:IL
Practice Address - Zip Code:62995-1612
Practice Address - Country:US
Practice Address - Phone:618-658-2611
Practice Address - Fax:618-658-2501
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor