Individual provider · Type 1 NPI

Rebecca Ann Derocha, MA, LPC, CAAC-R

Addiction (Substance Use Disorder) Counselor · Traverse City, MI

NPI number 1194057984 Active

Practice location

940 E 8th St
Traverse City, MI 49686-2893

Mailing address

407 George St
Traverse City, MI 49686-4811

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6401009909 (MI)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194057984

Rebecca Ann Derocha, MA, LPC, CAAC-R's National Provider Identifier is 1194057984, issued on Feb 4, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Traverse City, MI. The record was last updated on Feb 4, 2010.