| Doctor Name: | MRS. REBECCA KATHRYN PADBERG |
| NPI Number: | 1306204607 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCMHC, NCC |
| License Number: | 7671959-6004 |
| Business Practice Address: | 7309 Balmer St Bldg 547 Hill Afb, UT - 840565012 |
| Business Phone Number: | 8017771629 |
| Business Fax Number: | 8017774490 |
| Mailing Address: | 7309 Balmer St, Bldg 547 HILL AFB |
| State: | UT |
| Postal Code: | 840565012 |
| Phone Number: | 8017771629 |
| Fax Number: | 8017774490 |
| NPI Enumeration Date: | 02/02/2016 |
| NPI Last Update Date: | 02/02/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 7671959-6004 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | UT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |