Provider Demographics
NPI:1255665519
Name:SUTER, REBECCA RENEE (LCPC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:RENEE
Last Name:SUTER
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:RENEE
Other - Last Name:BARTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4000 S EASTERN AVE
Mailing Address - Street 2:SUITE 140
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89119-0824
Mailing Address - Country:US
Mailing Address - Phone:702-373-4104
Mailing Address - Fax:702-951-9385
Practice Address - Street 1:4000 S EASTERN AVE
Practice Address - Street 2:SUITE 140
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89119-0824
Practice Address - Country:US
Practice Address - Phone:702-373-4104
Practice Address - Fax:702-951-9385
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.007163101YP2500X
NVCP0038101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional