Individual
REBEKAH SUE WEIDENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PLPC
Contact information
Practice address
503 W REED ST, MOBERLY, MO 65270-1509
(573) 575-8191
Mailing address
1302 COUNTY ROAD 2455, HUNTSVILLE, MO 65259-2900
(660) 414-7303
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2020033347
MO
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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