Doctor Name: | REBECCA KOVACS |
NPI Number: | 1609813682 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 34005106A |
Business Practice Address: | 118 E Washington St Hartford City, IN - 473482210 |
Business Phone Number: | 7653481303 |
Business Fax Number: | |
Mailing Address: | 505 N Wabash Ave, MARION |
State: | IN |
Postal Code: | 469522608 |
Phone Number: | 7656623971 |
Fax Number: | |
NPI Enumeration Date: | 05/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 34005106A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |