MEDICARE: REBEKAH A SANDELL

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	4994-125	WI

General Provider Information

NPI Number	:	1992047534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH A SANDELL

Provider Business Mailing Address
First Line	:	930 E KNAPP ST STE 31
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2800
Country	:	US
Telephone Number	:	414-436-1340
Fax Number	:	414-751-6981

Provider Business Practice Location Address
First Line	:	930 E KNAPP ST STE 31
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53202-2800
Country	:	US
Telephone Number	:	414-436-1340
Fax Number	:	414-751-6981

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2013
Last Update Date	:	04/06/2026

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Directions to “ REBEKAH A SANDELL ” Practice Location

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