Reba Rice-Portwood

NPI #1013393172 in Florissant, Missouri

Provider Information

NPI Number: 1013393172
Entity Type: Individual
Name: Reba Rice-Portwood
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 30, 2015
Last Updated: Jul 30, 2015

Practice Location

Address: 3633 MARIETTA DR STE C
City: Florissant
State: Missouri
ZIP Code: 63033-3208
Phone: (314) 831-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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