Provider Demographics
NPI:1255976379
Name:BROWN, REBECCA N (LPC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:N
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:N
Other - Last Name:MCCOWAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:PO BOX 6513
Mailing Address - Street 2:
Mailing Address - City:BEND
Mailing Address - State:OR
Mailing Address - Zip Code:97708-6513
Mailing Address - Country:US
Mailing Address - Phone:541-329-0439
Mailing Address - Fax:541-229-1259
Practice Address - Street 1:19855 FOURTH ST STE 106
Practice Address - Street 2:SUITE 106
Practice Address - City:BEND
Practice Address - State:OR
Practice Address - Zip Code:97703-7814
Practice Address - Country:US
Practice Address - Phone:541-329-0439
Practice Address - Fax:541-229-1259
Is Sole Proprietor?:No
Enumeration Date:2019-11-13
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC3003101YP2500X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500774999Medicaid