Doctor Name: | MS. REBEKAH L. BURKET |
NPI Number: | 1013399708 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 936 |
Business Practice Address: | 926 Aspen St Fairbanks, AK - 997095501 |
Business Phone Number: | 9074518208 |
Business Fax Number: | 9074518207 |
Mailing Address: | Po Box 73511, FAIRBANKS |
State: | AK |
Postal Code: | 997073511 |
Phone Number: | 9074528208 |
Fax Number: | 9074518207 |
NPI Enumeration Date: | 06/18/2015 |
NPI Last Update Date: | 06/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 936 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |