Individual
REBECCA PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
5200 ANNAPOLIS LN N APT 1204, PLYMOUTH, MN 55446-3610
(763) 370-8805
Mailing address
5200 ANNAPOLIS LN N APT 1204, PLYMOUTH, MN 55446-3610
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
#300650
MN
Other
Enumeration date
08/06/2015
Last updated
08/06/2015
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