Individual
REBECCA L DRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCMH
Contact information
Practice address
1201 W 7TH ST APT 3, WILMINGTON, DE 19805-3258
(404) 821-7036
Mailing address
1201 W 7TH ST APT 3, WILMINGTON, DE 19805-3258
(404) 821-7036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC-0000901
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PC-0000901
STATE OF DELAWARE DIVISION OF PROFESSIONAL REGULATION
DE
Enumeration date
11/18/2019
Last updated
11/18/2019
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