Provider Demographics
NPI:1497881460
Name:VIETH-ALBRECHT, REBECCA ANNA (LPC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:ANNA
Last Name:VIETH-ALBRECHT
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 1:416 REDWOOD DR
Mailing Address - Street 2:
Mailing Address - City:NEW BLOOMFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65063-5418
Mailing Address - Country:US
Mailing Address - Phone:573-462-9300
Mailing Address - Fax:
Practice Address - Street 1:416 REDWOOD DR
Practice Address - Street 2:
Practice Address - City:NEW BLOOMFIELD
Practice Address - State:MO
Practice Address - Zip Code:65063-5418
Practice Address - Country:US
Practice Address - Phone:573-462-9300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003001468101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional