Doctor Name: | REBECCA L DIONNE |
NPI Number: | 1992115679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LLPC |
License Number: | 6401011600 |
Business Practice Address: | 101 River Street, Suite 100 Boyne City, MI - 49712 |
Business Phone Number: | 2316756937 |
Business Fax Number: | 8554880824 |
Mailing Address: | 101 River St Ste 100, P.o. Box 354 BOYNE CITY |
State: | MI |
Postal Code: | 497121234 |
Phone Number: | 2316756937 |
Fax Number: | 8554880824 |
NPI Enumeration Date: | 05/02/2014 |
NPI Last Update Date: | 05/02/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 6401011600 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |