Individual
REBECCA NERESTANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4140 THIELMAN LN STE 303, SAINT CLOUD, MN 56301-3897
(320) 253-5930
Mailing address
PO BOX 9859, FARGO, ND 58106-9859
(701) 451-4900
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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