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Individual

MISS REBEKKAH L HIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA, CADC

Contact information

Practice address
1501 OLIVE ST, LAWRENCEVILLE, IL 62439-2269
(618) 943-3451
(618) 943-4368
Mailing address
504 MICAH DR, DRAWER M, OLNEY, IL 62450-4720
(618) 395-4506
(618) 395-4507

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor

Other

Enumeration date
10/05/2011
Last updated
10/12/2011
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