Provider Demographics
NPI:1801243720
Name:VANDERZEE, REBEKAH ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:REBEKAH
Middle Name:ANN
Last Name:VANDERZEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16221 OREGON AVE
Mailing Address - Street 2:
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-5068
Mailing Address - Country:US
Mailing Address - Phone:909-717-2909
Mailing Address - Fax:562-679-4618
Practice Address - Street 1:9718 HARVARD ST
Practice Address - Street 2:
Practice Address - City:BELLFLOWER
Practice Address - State:CA
Practice Address - Zip Code:90706-3635
Practice Address - Country:US
Practice Address - Phone:562-925-2777
Practice Address - Fax:562-925-7572
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA283901041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical