Provider Demographics
NPI:1043358153
Name:TOURBIN, REBEKAH CHRISTINE (MA)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:CHRISTINE
Last Name:TOURBIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:916 W 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98363-7230
Mailing Address - Country:US
Mailing Address - Phone:360-452-8395
Mailing Address - Fax:
Practice Address - Street 1:3080 LOWER ELWHA RD
Practice Address - Street 2:
Practice Address - City:PORT ANGELES
Practice Address - State:WA
Practice Address - Zip Code:98363-8411
Practice Address - Country:US
Practice Address - Phone:360-452-8471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00050882101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health