Provider Demographics
NPI:1073904348
Name:DEES-MCMAHON, REBEKAH FRANCES (D MIN)
Entity Type:Individual
Prefix:DR
First Name:REBEKAH
Middle Name:FRANCES
Last Name:DEES-MCMAHON
Suffix:
Gender:F
Credentials:D MIN
Other - Prefix:DR
Other - First Name:REBEKAH
Other - Middle Name:FRANCES
Other - Last Name:DEES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:D MIN
Mailing Address - Street 1:P.O. BOX 643
Mailing Address - Street 2:17822 575 E. ST.
Mailing Address - City:SHEFFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:61361
Mailing Address - Country:US
Mailing Address - Phone:815-454-2227
Mailing Address - Fax:
Practice Address - Street 1:137 E COLLEGE ST
Practice Address - Street 2:
Practice Address - City:KEWANEE
Practice Address - State:IL
Practice Address - Zip Code:61443-3703
Practice Address - Country:US
Practice Address - Phone:309-852-4331
Practice Address - Fax:309-854-0122
Is Sole Proprietor?:No
Enumeration Date:2015-02-09
Last Update Date:2018-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA077277101YM0800X
ARP1411094101YP1600X, 101YP2500X
MO2015007726101YP2500X
IL180.006707101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral