Provider Demographics
NPI:1982181343
Name:COTNER, REBEKAH (LMHC)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:COTNER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 NEW LOUDON RD STE 101
Mailing Address - Street 2:
Mailing Address - City:LATHAM
Mailing Address - State:NY
Mailing Address - Zip Code:12110-2100
Mailing Address - Country:US
Mailing Address - Phone:518-573-7024
Mailing Address - Fax:
Practice Address - Street 1:950 NEW LOUDON RD STE 101
Practice Address - Street 2:
Practice Address - City:LATHAM
Practice Address - State:NY
Practice Address - Zip Code:12110-2100
Practice Address - Country:US
Practice Address - Phone:518-573-7024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-27
Last Update Date:2018-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health