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NPI Code Detail

MEDICARE: REBECCA THEES M.ED., LPC

MEDICARE:   REBECCA  THEES  M.ED., 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 Counselor4721LA

General Provider Information

NPI Number : 1982077954
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA THEES M.ED., LPC
Provider Business Mailing Address
First Line : 823 CARROLL ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5126
Country : US
Telephone Number : 985-674-0488
Fax Number : 985-674-0336
Provider Business Practice Location Address
First Line : 823 CARROLL ST
Second Line :
City : MANDEVILLE
State : LA
Zip : 70448-5126
Country : US
Telephone Number : 985-674-0488
Fax Number : 985-674-0336
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/12/2015
Last Update Date : 11/12/2015

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Directions to “ REBECCA THEES M.ED., LPC” Practice Location

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