Provider Demographics
NPI:1942504071
Name:CALLAHAN, REBEKAH ERIN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:REBEKAH
Middle Name:ERIN
Last Name:CALLAHAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:REBEKAH
Other - Middle Name:ERIN
Other - Last Name:WHITEHOUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7304 10TH ST. SE #B201
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258
Mailing Address - Country:US
Mailing Address - Phone:458-206-0870
Mailing Address - Fax:
Practice Address - Street 1:7304 10TH ST. SE #B201
Practice Address - Street 2:
Practice Address - City:LAKE STEVENS
Practice Address - State:WA
Practice Address - Zip Code:98258
Practice Address - Country:US
Practice Address - Phone:458-206-0870
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-04
Last Update Date:2017-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist