| Doctor Name: | REBECCA KAIN |
| NPI Number: | 1063761690 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | LGP4305 |
| Business Practice Address: | 8967 Yellow Brick Rd Suite A Rosedale, MD - 212372303 |
| Business Phone Number: | 4107804320 |
| Business Fax Number: | 4107805205 |
| Mailing Address: | 8967 Yellow Brick Rd, Suite A ROSEDALE |
| State: | MD |
| Postal Code: | 212372303 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/29/2012 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | LGP4305 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |