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Individual

REBECCA DEASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, NCC

Contact information

Practice address
212 W COLUMBIA ST STE B, FARMINGTON, MO 63640-1700
(573) 315-3800
Mailing address
403 LEE ST, PARK HILLS, MO 63601-2247
(573) 330-9676

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019035108
MO

Other

Enumeration date
12/11/2023
Last updated
12/11/2023
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