Rebecca Milburn, MA, L/CCC-SLP
Counselor, Addiction (Substance Use Disorder) in Andover, KS. Individual provider (NPI-1).
NPI number1437572013
StatusActive
Last updated in NPPESFeb 3, 2024
Details
- NPI
- 1437572013
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Rebecca Milburn
- Credential
- MA, L/CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 2, 2014
- Certification date
- Feb 3, 2024
- Last updated
- Feb 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 01190 | KS | Yes |
| 235Z00000X | Speech-Language Pathologist, | 2461 | KS |
Other names
- Rebecca Delong (Former Name)
Practice location
9700 Sw Pine RdAndover, KS 67002-8375
Phone 316-558-1058
Mailing address
9700 Sw Pine RdAndover, KS 67002-8375
Phone 316-558-1058
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