Provider Demographics
NPI:1437890670
Name:BRABEC-VANDEHEI, REBECCA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:BRABEC-VANDEHEI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1309 ALABAMA ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92648-3518
Mailing Address - Country:US
Mailing Address - Phone:949-306-3289
Mailing Address - Fax:
Practice Address - Street 1:1309 ALABAMA ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-3518
Practice Address - Country:US
Practice Address - Phone:949-306-3289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-03
Last Update Date:2022-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA198641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CANAOtherNA