# REBECCA S. DE VRIES, PH.D., LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538533948
- **Authorized official:** DR. REBECCA S DE VRIES LPC, NCC, NCSP (SOLE PROPRIETOR)
- **Authorized official phone:** (724) 766-2376

## Contact information

- **Practice address:** 201 S MAIN ST, SUITE 102A, BUTLER, PA 16001-5991
- **Practice address phone:** (724) 766-2376
- **Practice address fax:** (844) 662-5069
- **Mailing address:** 104 CASHDOLLAR RD, MARS, PA 16046-3502
- **Mailing address phone:** (724) 766-2376
- **Mailing address fax:** (844) 662-5069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | PC005515 | PA | Yes |

## Other

- **Enumeration date:** 11/23/2015
- **Last updated:** 01/14/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1588983894 | NPPES | PA |