REBECCA MARIE HENDERSON LAC NPI 1477311066

NPI Information

NPI: 1477311066
Provider Name: REBECCA MARIE HENDERSON, LAC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
12351 E BRADSHAW MOUNTAIN RD UNIT 176
DEWEY, AZ
ZIP 86327
Phone: (714) 274-3590
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Rebecca Marie Henderson, LAC is a professional counselor in Dewey, AZ. Rebecca Marie Henderson, LAC NPI is 1477311066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12351 E BRADSHAW MOUNTAIN RD UNIT 176
DEWEY, AZ
ZIP 86327-070
Phone: (714) 274-3590

The enumeration date for this NPI number is 3/8/2024 and was last updated on 3/8/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	LAC-22641	ARIZONA	Yes
2	101YM0800X	Counselor	Mental Health	LAC-22641	ARIZONA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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