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Provider Information for 1528112828


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REBECCA HOSEY LPC CSAC


Sex: Female

NPI: 1528112828
Last Updated: 2010-08-03
Certification Date:

Details

NameValue
NPI1528112828
Enumeration Date2007-01-23
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 124 MALLARD ST
GREENVILLE, SC 29601-4046
United States

Phone: 864-241-1040 | Fax:
 
Primary Practice Address 124 MALLARD ST
GREENVILLE, SC 29601-4046
United States

Phone: 864-241-1040 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)WI14563
Yes 101YP2500X - Counselor - Professional