Provider Demographics
NPI:1902960354
Name:BOHN, REBECCA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:
Last Name:BOHN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:820 S MCCLELLAN ST
Mailing Address - Street 2:SUITE 411
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99204-2457
Mailing Address - Country:US
Mailing Address - Phone:509-838-8168
Mailing Address - Fax:509-838-8256
Practice Address - Street 1:820 S MCCLELLAN ST
Practice Address - Street 2:SUITE 411
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99204-2457
Practice Address - Country:US
Practice Address - Phone:509-838-8168
Practice Address - Fax:509-838-8256
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006796101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health