Provider Demographics
NPI:1225687999
Name:KREGER, REBECCA A (LPCC (MN), LPC (WI))
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:KREGER
Suffix:
Gender:F
Credentials:LPCC (MN), LPC (WI)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3694
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54602-3694
Mailing Address - Country:US
Mailing Address - Phone:507-312-8876
Mailing Address - Fax:877-326-3360
Practice Address - Street 1:50 W 2ND ST STE 108
Practice Address - Street 2:
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-3987
Practice Address - Country:US
Practice Address - Phone:507-312-8876
Practice Address - Fax:877-326-3360
Is Sole Proprietor?:No
Enumeration Date:2019-09-05
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC02253101Y00000X, 101YP2500X
WI5877-125101Y00000X, 101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health