Provider Demographics
NPI:1235416538
Name:JAMES, REBEKAH JANE (LCAC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JANE
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCAC
Other - Prefix:
Other - First Name:REBEKAH
Other - Middle Name:JANE
Other - Last Name:LARSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCAC
Mailing Address - Street 1:4015 SW 21ST
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604
Mailing Address - Country:US
Mailing Address - Phone:785-266-0202
Mailing Address - Fax:785-267-3439
Practice Address - Street 1:1739 E 23RD ST
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66046-5017
Practice Address - Country:US
Practice Address - Phone:785-830-8238
Practice Address - Fax:785-830-8246
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-15
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS470101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)