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REBECCA COURSEY

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1902212814

Individual Registrant:
 REBECCA  COURSEY 
Gender: M
Sole Proprietor

Location and contact information for practice:
1763 FERNSIDE DR. AVITA COMMUNITY PARTNERS TOCCOA, GA 30577 US
Tel: 706-282-4542  Fax: --

Contact information for business:
145 HILL TOP DR  JEFFERSON, GA 30549-6706 US
Tel: 706-367-0791  Fax: 706-886-6289

Registration Information:
NPI: 1902212814
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC003647

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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