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Individual
REBECCA R BURTOP
Active
Individual
REBECCA R BURTOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
PC011788
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC011788
PROFESSIONAL COUNSELOR LICENSE
PA
Enumeration date
10/07/2019
Last updated
02/12/2024
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