| NPI | 1477755858 |
|---|---|
| Other Name | REBECCA MICHELLE JOHN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 393) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: AK 3245) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2011-08-22 |