Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REBECCA MAXINE WYATT, CADC, CCJP, CSC
Active Sole ProprietorREBECCA MAXINE WYATT, CADC, CCJP, CSC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in PETERSBURG, Virginia. NPI 1902190986 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · PETERSBURG, VA
Registration Details
- NPI Number
- 1902190986
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 7, 2011 (15.144416695136 yrs)
- Last Updated
- Jun 7, 2011
- License
-
704151 (VA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4 S MARKET STPETERSBURG, VA, 238034216Browse VA providers · Browse ZIP 23803
- Phone
- 8046916144
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in PETERSBURG, VA
| Name | Credential | NPI |
|---|---|---|
| MRS. CORETHA MARIE CLAIBORN | CSAC,MAC,SAP,LSATP | 1942479381 |
| TITONI LEVON CRENSHAW | QMHP, CSAC | 1003415886 |
| VALECIA JACKSON | CSAC | 1306509724 |
| KIAJAH AISHAH MAY | QMHP-A/C | 1457041691 |
| MR. JOHN CURLY BRISCO III | DOCTOR | 1265288500 |
| KENNETH ALONZO GRAVES | CSAC | 1396561981 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.