Provider Demographics
NPI:1982181269
Name:EDMONDS, REBECCA ANNE (MFT-C)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANNE
Last Name:EDMONDS
Suffix:
Gender:F
Credentials:MFT-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42362 GLEN ABBEY DR
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:CO
Mailing Address - Zip Code:80107-8632
Mailing Address - Country:US
Mailing Address - Phone:303-819-3987
Mailing Address - Fax:
Practice Address - Street 1:42362 GLEN ABBEY DR
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:CO
Practice Address - Zip Code:80107-8632
Practice Address - Country:US
Practice Address - Phone:303-819-3987
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-19
Last Update Date:2018-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist