Provider Demographics
NPI:1144778218
Name:SEABROOKE, REBECCA S (LMHCT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:SEABROOKE
Suffix:
Gender:F
Credentials:LMHCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 E UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50316-2302
Mailing Address - Country:US
Mailing Address - Phone:515-263-2426
Mailing Address - Fax:515-263-2424
Practice Address - Street 1:700 E UNIVERSITY AVE
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-2302
Practice Address - Country:US
Practice Address - Phone:515-263-2426
Practice Address - Fax:515-263-2424
Is Sole Proprietor?:No
Enumeration Date:2016-09-16
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health