Provider Demographics
NPI:1477877512
Name:YAGER, REBECCA JEAN (LMFT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:JEAN
Last Name:YAGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:BECCA
Other - Middle Name:J
Other - Last Name:YAGER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFT
Mailing Address - Street 1:11070 183RD CIR NW
Mailing Address - Street 2:STE C
Mailing Address - City:ELK RIVER
Mailing Address - State:MN
Mailing Address - Zip Code:55330-2861
Mailing Address - Country:US
Mailing Address - Phone:763-633-5111
Mailing Address - Fax:763-633-5112
Practice Address - Street 1:11070 183RD CIR NW
Practice Address - Street 2:STE C
Practice Address - City:ELK RIVER
Practice Address - State:MN
Practice Address - Zip Code:55330-2861
Practice Address - Country:US
Practice Address - Phone:763-633-5111
Practice Address - Fax:763-633-5112
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health