Individual
REBECCA S WILLSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
550 N 5TH ST, STE. 106, RAPID CITY, SD 57701-1375
(605) 718-3620
(605) 718-3616
Mailing address
1430 HAINES AVE, STE. 108 #177, RAPID CITY, SD 57701-0689
(605) 890-2974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
09041390
SD
Other
Enumeration date
12/20/2014
Last updated
12/20/2014
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