Doctor Name: | REBECCA D ANDERSON |
NPI Number: | 1386846038 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, CADC III |
License Number: | C2239 |
Business Practice Address: | 1215 Main Street Philomath, OR - 97370 |
Business Phone Number: | 5038719530 |
Business Fax Number: | |
Mailing Address: | Po Box 2113, CORVALLIS |
State: | OR |
Postal Code: | 97339 |
Phone Number: | 5038719530 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2007 |
NPI Last Update Date: | 08/04/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | C2239 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |