# MRS. REBECCA J WELBORN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1104600592
- **Gender:** F
- **Credential:** LACA, BSADC,CAPRC II

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | 99128120A | IN | Yes |
| 172V00000X | Community Health Worker | — | IN | — |
| 175T00000X | Peer Specialist | CAPRC2-5198 | IN | — |

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 11/17/2024