Individual
REBECCA WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
1214 PIERCE ST, SIOUX CITY, IA 51105-1417
(712) 202-2968
(712) 201-4660
Mailing address
1214 PIERCE ST, SIOUX CITY, IA 51105-1417
(712) 202-2968
(712) 201-4660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001396
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10026887200
—
IA
05
—
IA114479
—
IA
Enumeration date
09/14/2011
Last updated
11/15/2021
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