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Organization
REBECCA S. DE VRIES, PH.D., LLC
Active
Organization
REBECCA S. DE VRIES, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA S DE VRIES LPC, NCC, NCSP (SOLE PROPRIETOR)
(724) 766-2376
Entity
Organization
Contact information
Practice address
201 S MAIN ST, SUITE 102A, BUTLER, PA 16001-5991
(724) 766-2376
(844) 662-5069
Mailing address
104 CASHDOLLAR RD, MARS, PA 16046-3502
(724) 766-2376
(844) 662-5069
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC005515
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588983894
NPPES
PA
Enumeration date
11/23/2015
Last updated
01/14/2016
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