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Individual
REBECCA HUDOCK
Active
Individual
REBECCA HUDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAADC, LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC013821
PA
101YP2500X
Professional Counselor
Primary
PC013821
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC013821
LPC
PA
Enumeration date
11/24/2021
Last updated
08/11/2023
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