Provider Demographics
NPI:1003035601
Name:FITTON, REBECCA (LCMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:FITTON
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:520 ELMSHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-3541
Mailing Address - Country:US
Mailing Address - Phone:802-922-3848
Mailing Address - Fax:
Practice Address - Street 1:520 ELMSHAVEN DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-3541
Practice Address - Country:US
Practice Address - Phone:802-922-3848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-24
Last Update Date:2016-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068-0000706101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health