Provider Demographics
NPI:1770980815
Name:KERN, REBECCA (LPC-S, NCC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:KERN
Suffix:
Gender:F
Credentials:LPC-S, NCC
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:KERN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC-S, NCC
Mailing Address - Street 1:11607 BRYCE MILL CT
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-6214
Mailing Address - Country:US
Mailing Address - Phone:324-447-7592
Mailing Address - Fax:
Practice Address - Street 1:11607 BRYCE MILL CT
Practice Address - Street 2:
Practice Address - City:HUMBLE
Practice Address - State:TX
Practice Address - Zip Code:77346-6214
Practice Address - Country:US
Practice Address - Phone:281-913-9330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-03
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX68285101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional