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Individual

REBEBCCA THERESA MCGUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSS, CT

Contact information

Practice address
26731 W POINT MACKENZIE RD, WASILLA, AK 99623-8709
(907) 376-4534
(907) 376-2348
Mailing address
PO BOX 871545, WASILLA, AK 99687-1545
(907) 376-4534
(907) 376-2348

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
4995
AK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4995
ALASKA COMMISSION FOR BEHAVIORAL HEALTH CERTIFICATION - COUNSELOR TECH
AK
Enumeration date
03/07/2023
Last updated
03/07/2023
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