Provider Demographics
NPI:1598329450
Name:LUITEN, REBEKAH (LPC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:LUITEN
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 1:516 W SEMINARY AVE APT 1W
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60187-4961
Mailing Address - Country:US
Mailing Address - Phone:765-810-3899
Mailing Address - Fax:
Practice Address - Street 1:499 ANTHONY ST
Practice Address - Street 2:
Practice Address - City:GLEN ELLYN
Practice Address - State:IL
Practice Address - Zip Code:60137-4468
Practice Address - Country:US
Practice Address - Phone:630-866-3700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-26
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.017405101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health