Doctor Name: | REBECCA NOEL MESMAN |
NPI Number: | 1114249711 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPCC |
License Number: | |
Business Practice Address: | 1833 3rd Ave Anoka, MN - 553032424 |
Business Phone Number: | 7634215535 |
Business Fax Number: | 7634330226 |
Mailing Address: | 1833 3rd Ave, ANOKA |
State: | MN |
Postal Code: | 553032424 |
Phone Number: | 7634215535 |
Fax Number: | 7634330226 |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 04/03/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |