Provider Demographics
NPI:1669653713
Name:CORRENTI, REBECCA DOLORES (LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:DOLORES
Last Name:CORRENTI
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 1:8113 N OAK TRFY STE F
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64118-1207
Mailing Address - Country:US
Mailing Address - Phone:816-468-1981
Mailing Address - Fax:816-468-1981
Practice Address - Street 1:8113 N OAK TRFY STE F
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64118-1207
Practice Address - Country:US
Practice Address - Phone:816-468-1981
Practice Address - Fax:816-468-1981
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000172066101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional