Provider Demographics
NPI:1891187613
Name:VERKEST, REBECCA LYNN (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:LYNN
Last Name:VERKEST
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18557 CANAL RD STE 3
Mailing Address - Street 2:
Mailing Address - City:CLINTON TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48038-5821
Mailing Address - Country:US
Mailing Address - Phone:586-663-8705
Mailing Address - Fax:844-630-5853
Practice Address - Street 1:18557 CANAL RD STE 3
Practice Address - Street 2:
Practice Address - City:CLINTON TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48038-5821
Practice Address - Country:US
Practice Address - Phone:586-663-8705
Practice Address - Fax:844-630-5835
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2023-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6401014701101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional