Individual
REBECCA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
998 COUNTY ROAD 212, LINN, MO 65051-3751
(573) 694-0796
Mailing address
998 COUNTY ROAD 212, LINN, MO 65051-3751
(573) 694-0796
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2019031705
MO
101YM0800X
Mental Health Counselor
2019031705
MO
101YP2500X
Professional Counselor
Primary
2019031705
MO
Other
Enumeration date
05/22/2020
Last updated
03/10/2024
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