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Individual
MS. REBECCA ANNE DALLAS
Active
Individual
MS. REBECCA ANNE DALLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LMHCA,SUDP
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC61474088
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60776411
WA
101YM0800X
Mental Health Counselor
MC61474088
WA
Other
Enumeration date
10/24/2011
Last updated
02/27/2024
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