Provider Demographics
NPI:1912088394
Name:KVETON, REBECCA KAYE (MA, LPC, CCBT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:KAYE
Last Name:KVETON
Suffix:
Gender:F
Credentials:MA, LPC, CCBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1990
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77402-1990
Mailing Address - Country:US
Mailing Address - Phone:713-777-1411
Mailing Address - Fax:713-661-6239
Practice Address - Street 1:5222 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3311
Practice Address - Country:US
Practice Address - Phone:713-777-1411
Practice Address - Fax:713-661-6239
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX13377101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional