Organization · Type 2 NPI
Rebellious Recovery LLC
Addiction (Substance Use Disorder) Counselor · Paducah, KY
NPI number
1710890470
Active
Practice location
3011 Jefferson St Apt D
Paducah, KY 42001-4373
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1710890470
Rebellious Recovery LLC's National Provider Identifier is 1710890470, issued on Sep 24, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Paducah, KY. The record was last updated on Sep 24, 2026.