Provider Demographics
NPI:1235266487
Name:GREENE, REBECCA H (LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:H
Last Name:GREENE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:H
Other - Last Name:GREENE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LPC
Mailing Address - Street 1:1317 CHESTNUT GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOONE
Mailing Address - State:NC
Mailing Address - Zip Code:28607-8274
Mailing Address - Country:US
Mailing Address - Phone:828-264-5682
Mailing Address - Fax:
Practice Address - Street 1:1317 CHESTNUT GROVE RD
Practice Address - Street 2:
Practice Address - City:BOONE
Practice Address - State:NC
Practice Address - Zip Code:28607-8274
Practice Address - Country:US
Practice Address - Phone:828-264-5682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6442101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional