Provider Demographics
NPI:1629399282
Name:LUEBBE, REBECCA S (LPCC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:S
Last Name:LUEBBE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5751 SAWYERS MILL DR
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45042-3071
Mailing Address - Country:US
Mailing Address - Phone:937-902-3407
Mailing Address - Fax:
Practice Address - Street 1:3171 BEAVER VU DR STE C
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45434-6368
Practice Address - Country:US
Practice Address - Phone:937-426-2113
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-17
Last Update Date:2018-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE0800285101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional