Individual
MS. REBECCA R SPONSLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS CEAP LMHC
Contact information
Practice address
1408 EAST 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Mailing address
1408 EAST 10TH ST, ATLANTIC, IA 50022
(712) 243-2606
(712) 243-2688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00449
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00449
LICENSED MENTAL HEALTH CO
IA
01
—
018549
EMPLOYEE ASSISTANCE CERTI
—
Enumeration date
01/31/2006
Last updated
07/08/2007
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