Provider Demographics
NPI:1417197203
Name:WOOLF, REBEKAH NOELLE (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:NOELLE
Last Name:WOOLF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 EVANS RD
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28716-7341
Mailing Address - Country:US
Mailing Address - Phone:828-246-7342
Mailing Address - Fax:
Practice Address - Street 1:433 EVANS RD
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:NC
Practice Address - Zip Code:28716-7341
Practice Address - Country:US
Practice Address - Phone:828-246-7342
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-06
Last Update Date:2009-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6685101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional