Individual
MRS. REBECCA ROSE BEWLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-IT, SAC-IT
Contact information
Practice address
1400 75TH ST, KENOSHA, WI 53143-1544
(262) 909-6008
Mailing address
4254 PINE RIDGE LN, RACINE, WI 53403-4031
(262) 989-7864
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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