Provider Demographics
NPI:1205308483
Name:COLE, REBEKAH LYNN
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:LYNN
Last Name:COLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:905 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1825
Mailing Address - Country:US
Mailing Address - Phone:814-506-9480
Mailing Address - Fax:814-506-9088
Practice Address - Street 1:905 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1825
Practice Address - Country:US
Practice Address - Phone:814-506-9480
Practice Address - Fax:814-506-9088
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor