Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 077277 | IA |
N | 101YP1600X | Pastoral Counselor | P1411094 | AR |
Y | 101YP2500X | Professional Counselor | 180.006707 | IL |
N | 101YP2500X | Professional Counselor | 2015007726 | MO |
N | 101YP2500X | Professional Counselor | P1411094 | AR |
NPI | 1073904348 |
---|---|
Provider Name | Dr. Rebekah Frances Dees-Mcmahon |
First Address | Sheffield, IL 61361 |
Second Address | Kewanee, IL 61443-3703 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2015 |
Last Update Date | 13/04/2018 |