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Individual

REBECCA DEO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPCA

Contact information

Practice address
257 PARKLAND HTS, CYNTHIANA, KY 41031-6017
(859) 234-6940
Mailing address
257 PARKLAND HTS, CYNTHIANA, KY 41031-6017
(859) 234-6940

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY
101YP2500X
Professional Counselor
Primary
247112
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1790731081
KY
Enumeration date
11/16/2016
Last updated
03/09/2021
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