Provider Demographics
NPI:1508403940
Name:PERKINS, REBECCA CATHERINE (LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:CATHERINE
Last Name:PERKINS
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 1:7111 BILL TUCK HWY
Mailing Address - Street 2:
Mailing Address - City:VIRGILINA
Mailing Address - State:VA
Mailing Address - Zip Code:24598-3163
Mailing Address - Country:US
Mailing Address - Phone:703-772-3439
Mailing Address - Fax:
Practice Address - Street 1:7111 BILL TUCK HWY
Practice Address - Street 2:
Practice Address - City:VIRGILINA
Practice Address - State:VA
Practice Address - Zip Code:24598-3163
Practice Address - Country:US
Practice Address - Phone:703-772-3439
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-12-04
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008629101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health