Provider Demographics
NPI:1457786378
Name:ISRAEL, REBEKAH (QMHP, BS)
Entity Type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:ISRAEL
Suffix:
Gender:F
Credentials:QMHP, BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 TWYMANS MILL RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:VA
Mailing Address - Zip Code:22960-4843
Mailing Address - Country:US
Mailing Address - Phone:951-448-5282
Mailing Address - Fax:
Practice Address - Street 1:3817 TWYMANS MILL RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:VA
Practice Address - Zip Code:22960-4843
Practice Address - Country:US
Practice Address - Phone:951-448-5282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-10
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)