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NPI Code Detail

MEDICARE: REBECCA WHITSON LPC

MEDICARE:   REBECCA  WHITSON  LPC
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
1101YM0800XMental Health CounselorP1906072AR

General Provider Information

NPI Number : 1174184733
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA WHITSON LPC
Provider Business Mailing Address
First Line : 3404 S 28TH ST
Second Line :
City : FORT SMITH
State : AR
Zip : 72901-6906
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2917 OLD GREENWOOD RD STE 3
Second Line :
City : FORT SMITH
State : AR
Zip : 72903-4559
Country : US
Telephone Number : 479-459-2166
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 06/25/2019

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Directions to “ REBECCA WHITSON LPC” Practice Location

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