Provider Demographics
NPI:1366839003
Name:KIRSCHNER, REBECCA (CMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:KIRSCHNER
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 N 500 W
Mailing Address - Street 2:
Mailing Address - City:AMERICAN FORK
Mailing Address - State:UT
Mailing Address - Zip Code:84003-5100
Mailing Address - Country:US
Mailing Address - Phone:801-699-5392
Mailing Address - Fax:
Practice Address - Street 1:837 N 500 W
Practice Address - Street 2:
Practice Address - City:AMERICAN FORK
Practice Address - State:UT
Practice Address - Zip Code:84003-5100
Practice Address - Country:US
Practice Address - Phone:801-699-5392
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-04-21
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9617521-6009101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health