Provider Demographics
NPI:1548379480
Name:MCGUIRE, REBECCA (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:MCGUIRE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:12316 23RD DR SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-6651
Mailing Address - Country:US
Mailing Address - Phone:425-501-2303
Mailing Address - Fax:
Practice Address - Street 1:12316 23RD DR SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-6651
Practice Address - Country:US
Practice Address - Phone:425-501-2303
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health