Individual
REBEKAH T CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10640 BUSINESS 21, HILLSBORO, MO 63050-5039
(618) 877-4420
Mailing address
5710 N BROADWAY ST, CHICAGO, IL 60660-4302
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2020038794
MO
101YP2500X
Professional Counselor
180009915
IL
Other
Enumeration date
06/14/2017
Last updated
12/02/2020
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