Provider Demographics
NPI:1831706241
Name:BARRETT, REBECCA M (LICSW, LMHC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:M
Last Name:BARRETT
Suffix:
Gender:F
Credentials:LICSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17503 25TH AVE NE UNIT P302
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98271-4847
Mailing Address - Country:US
Mailing Address - Phone:360-301-8033
Mailing Address - Fax:
Practice Address - Street 1:17503 25TH AVE NE UNIT P302
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:WA
Practice Address - Zip Code:98271-4847
Practice Address - Country:US
Practice Address - Phone:360-301-8033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical