Individual
REBECCA MARIE LIMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSW, MA, LLPC
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
640101693
MI
171W00000X
Contractor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1980
—
MI
Enumeration date
07/01/2015
Last updated
07/01/2015
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