Provider Demographics
NPI:1275988255
Name:CHUBB, REBECCA (LPC, CACII)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CHUBB
Suffix:
Gender:F
Credentials:LPC, CACII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14991 E HAMPDEN AVE STE 165
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-3980
Mailing Address - Country:US
Mailing Address - Phone:720-878-7055
Mailing Address - Fax:
Practice Address - Street 1:14991 E HAMPDEN AVE STE 165
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-3980
Practice Address - Country:US
Practice Address - Phone:720-878-7055
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-27
Last Update Date:2016-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7693101YA0400X
CO5657101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)