Individual
MRS. REBECCA ANN FACUNDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(899) 778-0460
Mailing address
300 EAST HOSPITAL ROAD, FORT EISENHOWER, GA 30905
(989) 778-0460
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
6801095485
MI
Other
Enumeration date
05/17/2013
Last updated
03/08/2024
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