Rebecca Smith
Counselor, Professional in Osceola, WI. Individual provider (NPI-1).
NPI number1215488564
StatusActive
Last updated in NPPESOct 21, 2016
Details
- NPI
- 1215488564
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Smith
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 21, 2016
- Last updated
- Oct 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 3270 - 226 | WI | Yes |
Practice location
307 N Cascade StOsceola, WI 54020
Phone 612-554-8914 · Fax 715-417-3103
Mailing address
Po Box 246Osceola, WI 54020-0246
Phone 612-554-8914 · Fax 715-417-3103
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