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NPI Code Detail

MEDICARE: REBECCA MARCOTTE

MEDICARE: REBECCA MARCOTTE
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 Counselor002280CT
2101Y00000XCounselor6202SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902042195
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA MARCOTTE
Provider Business Mailing Address
First Line : 587 E MIDDLE TPKE
Second Line :
City : MANCHESTER
State : CT
Zip : 06040-3731
Country : US
Telephone Number : 860-646-3888
Fax Number : 860-645-4132
Provider Business Practice Location Address
First Line : 331 E MAIN ST STE 200
Second Line :
City : ROCK HILL
State : SC
Zip : 29730-5384
Country : US
Telephone Number : 803-517-1183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2008
Last Update Date : 05/31/2022

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Directions to “ REBECCA MARCOTTE ” Practice Location

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