Organization
REBECCA RAND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MATHIS (BILLER)
(954) 261-2935
Entity
Organization
Contact information
Practice address
136 S ACADEMY AVE STE G, EAGLE, ID 83616-6541
(208) 912-6621
(208) 939-9110
Mailing address
2886 E FERN BROOK DR, EAGLE, ID 83616-6602
(208) 912-6621
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
11/05/2020
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