Individual
MS. REBECCA L RAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
136 S ACADEMY AVE STE C, EAGLE, ID 83616-6541
(208) 912-6621
Mailing address
2886 E FERN BROOK DR, EAGLE, ID 83616-6602
(208) 912-6621
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
SW 12296
FL
Other
Enumeration date
07/27/2010
Last updated
01/12/2021
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