| Doctor Name: | REBECCA J CARR |
| NPI Number: | 1770844169 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 002119 |
| Business Practice Address: | 1224 Mill St Building B, Suite 103 East Berlin, CT - 060231159 |
| Business Phone Number: | 8605754144 |
| Business Fax Number: | |
| Mailing Address: | 25 Lori Ln, MERIDEN |
| State: | CT |
| Postal Code: | 064503574 |
| Phone Number: | 8605754144 |
| Fax Number: | |
| NPI Enumeration Date: | 06/03/2012 |
| NPI Last Update Date: | 06/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 002119 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |