Provider Demographics
NPI:1932489127
Name:BUZEK, REBECCA SUZANNE (LPC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:SUZANNE
Last Name:BUZEK
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 1:9000 CHAPEL RD
Mailing Address - Street 2:3203
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-8740
Mailing Address - Country:US
Mailing Address - Phone:361-571-6102
Mailing Address - Fax:
Practice Address - Street 1:323 N 29TH ST
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7416
Practice Address - Country:US
Practice Address - Phone:254-714-2274
Practice Address - Fax:254-714-2166
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX64817101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional