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NPI Code Detail

MEDICARE: MS. REBECCA VEE RALSTON LPC, NCC

MEDICARE: MS. REBECCA VEE RALSTON LPC, NCC
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 Counselor2006037236MO
2101YS0200XSchool Counselor0433049MO

General Provider Information

NPI Number : 1639493927
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REBECCA VEE RALSTON LPC, NCC
Provider Business Mailing Address
First Line : 2444 HIGHWAY 50
Second Line :
City : UNION
State : MO
Zip : 63084-2508
Country : US
Telephone Number : 314-323-8592
Fax Number :
Provider Business Practice Location Address
First Line : 408 JEFFERSON ST
Second Line :
City : SAINT CHARLES
State : MO
Zip : 63301-2824
Country : US
Telephone Number : 314-323-8592
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2010
Last Update Date : 10/27/2016

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