Individual
REBECCA LYNNE HUDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA,LPC
Contact information
Practice address
426 HIGHWAY 16, EMMETT, ID 83617-9461
(208) 365-2525
Mailing address
1072 MANCHESTER CT, MIDDLETON, ID 83644-5172
(208) 585-2278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC 5030
ID
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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