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Individual

REBECCA NELSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LMFT

Contact information

Practice address
1525 OLD LOUISQUISSET PIKE, B104, LINCOLN, RI 02865-4503
(401) 721-5228
Mailing address
9 OLD WEST WRENTHAM RD, CUMBERLAND, RI 02864-1012
(401) 439-0706

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
0096
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1023290
BEACON HEALTH STRATEGIES
RI
01
27139-6
BLUE CROSS
RI
01
411440
BLUE CHIP
RI
01
6272791
UNITED HEALTH
RI
05
FM49368
RI
Enumeration date
01/09/2007
Last updated
09/28/2015
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