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Individual
REBECCA BURRUSS
Active
Individual
REBECCA BURRUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LCAS, LCMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2348-226
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
15862-132
WI
101YM0800X
Mental Health Counselor
Primary
16704
NC
Other
Enumeration date
10/03/2014
Last updated
10/29/2021
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