Provider Demographics
NPI:1841690476
Name:EMAN, REBECCAH BRIANA (LPC, LPCC)
Entity type:Individual
Prefix:
First Name:REBECCAH
Middle Name:BRIANA
Last Name:EMAN
Suffix:
Gender:
Credentials:LPC, LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10701 135TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:SAWYER
Mailing Address - State:ND
Mailing Address - Zip Code:58781-9105
Mailing Address - Country:US
Mailing Address - Phone:701-839-4311
Mailing Address - Fax:701-839-4310
Practice Address - Street 1:600 22ND AVE NW STE U2H
Practice Address - Street 2:
Practice Address - City:MINOT
Practice Address - State:ND
Practice Address - Zip Code:58703-0986
Practice Address - Country:US
Practice Address - Phone:701-839-4311
Practice Address - Fax:701-839-4310
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2025-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND969-8-15-18A101YP2500X
171M00000X
ND969-8-15-18-541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No171M00000XOther Service ProvidersCase Manager/Care Coordinator