Provider Demographics
NPI:1699387373
Name:CHRISTIANSEN, REBECCA (LPC-MH, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:CHRISTIANSEN
Suffix:
Gender:F
Credentials:LPC-MH, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526 S DAKOTA ST
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-7624
Mailing Address - Country:US
Mailing Address - Phone:605-216-2529
Mailing Address - Fax:
Practice Address - Street 1:404 S LINCOLN ST STE L1
Practice Address - Street 2:
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4373
Practice Address - Country:US
Practice Address - Phone:605-216-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-23
Last Update Date:2020-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional