Individual
REBECCA JEAN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
904 MAINSTREET, HOPKINS, MN 55343-7529
(952) 562-4116
(763) 717-8049
Mailing address
32 10TH AVE S STE 212, HOPKINS, MN 55343-9481
(952) 562-4116
(763) 717-8049
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02477
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CC02477
MN BOARD OF BEHAVIORAL HEALTH AND THERAPY
MN
Enumeration date
12/23/2016
Last updated
04/13/2022
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