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NPI Code Detail

MEDICARE: MRS. REBECCA SCHALL LPC

MEDICARE: MRS. REBECCA SCHALL 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
1101YP2500XProfessional Counselor81282TX

General Provider Information

NPI Number : 1235725763
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. REBECCA SCHALL LPC
Provider Business Mailing Address
First Line : 17121 HIGHWAY 69 S
Second Line :
City : TYLER
State : TX
Zip : 75703-8091
Country : US
Telephone Number : 903-702-5139
Fax Number :
Provider Business Practice Location Address
First Line : 17121 HIGHWAY 69 S
Second Line :
City : TYLER
State : TX
Zip : 75703-8091
Country : US
Telephone Number : 903-702-5139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2020
Last Update Date : 12/18/2020

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Directions to “ MRS. REBECCA SCHALL LPC” Practice Location

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