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Individual

MRS. REBECCA LYNN GATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S.

Contact information

Practice address
2620 PERKINS CREEK DR, PADUCAH, KY 42001-7494
(270) 444-8465
Mailing address
1404 N GARFIELD ST APT D, MARION, IL 62959-3579
(618) 201-1011

Taxonomy

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

Other

Enumeration date
08/23/2007
Last updated
08/23/2007
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