Provider Demographics
NPI:1396427936
Name:DRURY, REBEKAH SUE (LPCC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:SUE
Last Name:DRURY
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 W MAIN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7485
Mailing Address - Country:US
Mailing Address - Phone:937-509-7216
Mailing Address - Fax:
Practice Address - Street 1:934 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-7439
Practice Address - Country:US
Practice Address - Phone:937-403-0887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-03
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
E.2303671101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor