Provider Demographics
NPI:1164709010
Name:PABST, REBECCA L (MS, CGC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:PABST
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:L
Other - Last Name:BETTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGC
Mailing Address - Street 1:1900 SOUTH AVE # EB1-001
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-5467
Mailing Address - Country:US
Mailing Address - Phone:608-775-3995
Mailing Address - Fax:608-775-1009
Practice Address - Street 1:1900 SOUTH AVE
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-5467
Practice Address - Country:US
Practice Address - Phone:608-775-3995
Practice Address - Fax:608-775-1009
Is Sole Proprietor?:No
Enumeration Date:2011-11-07
Last Update Date:2018-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS