Provider Demographics
NPI:1578775938
Name:SCARLETT, REBECCA A (LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:A
Last Name:SCARLETT
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 1:1333 CHERRY DR
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-3305
Mailing Address - Country:US
Mailing Address - Phone:336-524-0392
Mailing Address - Fax:
Practice Address - Street 1:24 NW COURT SQ
Practice Address - Street 2:SUITE 303
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-2860
Practice Address - Country:US
Practice Address - Phone:336-684-1858
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5344101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional