Provider Demographics
NPI:1639973738
Name:MORISON, REBECCA (PPS)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:MORISON
Suffix:
Gender:F
Credentials:PPS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3410 LONGVIEW RD
Mailing Address - Street 2:
Mailing Address - City:ANTIOCH
Mailing Address - State:CA
Mailing Address - Zip Code:94509-6006
Mailing Address - Country:US
Mailing Address - Phone:925-779-7425
Mailing Address - Fax:
Practice Address - Street 1:3410 LONGVIEW RD
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:CA
Practice Address - Zip Code:94509-6006
Practice Address - Country:US
Practice Address - Phone:925-779-7425
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool