Provider Demographics
NPI:1730737826
Name:LOUISON, REBECCA RAE (T-LMFT)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:RAE
Last Name:LOUISON
Suffix:
Gender:F
Credentials:T-LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 1ST AVE NE
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:IA
Mailing Address - Zip Code:52314-1413
Mailing Address - Country:US
Mailing Address - Phone:319-535-0252
Mailing Address - Fax:319-483-6622
Practice Address - Street 1:616 1ST AVE NE
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:IA
Practice Address - Zip Code:52314-1413
Practice Address - Country:US
Practice Address - Phone:319-535-0252
Practice Address - Fax:319-483-6622
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA096098106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist