Provider Demographics
NPI:1376219626
Name:COVAL, REBEKAH JEWEL
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:JEWEL
Last Name:COVAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 N ARCH ST
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:PA
Mailing Address - Zip Code:17603-3599
Mailing Address - Country:US
Mailing Address - Phone:717-312-7557
Mailing Address - Fax:
Practice Address - Street 1:226 N ARCH ST
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17603-3599
Practice Address - Country:US
Practice Address - Phone:717-226-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-17
Last Update Date:2024-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC016166101YP2500X
101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional