Individual provider · Type 1 NPI
Rebecca Maxine Wyatt, CADC, CCJP, CSC
Addiction (Substance Use Disorder) Counselor · Petersburg, VA
NPI number
1902190986
Active
Practice location
4 S Market St
Petersburg, VA 23803-4216
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 704151 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1902190986
Rebecca Maxine Wyatt, CADC, CCJP, CSC's National Provider Identifier is 1902190986, issued on Jun 7, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Jun 7, 2011.