Individual
REBECCA EDMONSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, ACC
Contact information
Practice address
2208 VAN PATTEN PL, LAS VEGAS, NV 89104-2754
(917) 318-4959
Mailing address
PO BOX 29, NEW YORK, NY 10040-0029
(917) 318-4959
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0000841
CO
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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