Provider Demographics
NPI:1689702441
Name:SCHERSTEN, REBECCA ROSS (LPC, LBSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ROSS
Last Name:SCHERSTEN
Suffix:
Gender:F
Credentials:LPC, LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:ADRIAN
Mailing Address - State:MI
Mailing Address - Zip Code:49221-2511
Mailing Address - Country:US
Mailing Address - Phone:517-265-7601
Mailing Address - Fax:
Practice Address - Street 1:4650 W US HIGHWAY 223 STE A
Practice Address - Street 2:
Practice Address - City:ADRIAN
Practice Address - State:MI
Practice Address - Zip Code:49221-8494
Practice Address - Country:US
Practice Address - Phone:517-226-2588
Practice Address - Fax:517-266-0224
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401002704101YP2500X
MI68020634571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical