Individual provider · Type 1 NPI

Rebecca Constance Mandeville, MFT / MFC# 43860

Mental Health Counselor · Cottonwood, CA

NPI number 1154814085 Active

Practice location

17015 Quail Ridge Rd
Cottonwood, CA 96022-9056

Mailing address

625 Highway 101 # 228
Florence, OR 97439-7634

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X43860 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1154814085

Rebecca Constance Mandeville, MFT / MFC# 43860's National Provider Identifier is 1154814085, issued on Jun 14, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottonwood, CA. The record was last updated on Jun 14, 2018.