Individual
REBECCA SUE MCCONNACHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8753
(701) 328-8900
Mailing address
1237 W DIVIDE AVE, STE 5, BISMARCK, ND 58501-1208
(701) 328-8753
(701) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
261-1-1-93-85
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
018029
BCBS OF ND
—
Enumeration date
07/07/2006
Last updated
09/12/2020
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