Provider Demographics
NPI:1861942138
Name:ENGLISH, REBECCA DALE (LPC MS NCC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:DALE
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:LPC MS NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 NW LOVEJOY ST
Mailing Address - Street 2:SUITE 328
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2346
Mailing Address - Country:US
Mailing Address - Phone:971-222-7482
Mailing Address - Fax:
Practice Address - Street 1:828 NE 87TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97220-5845
Practice Address - Country:US
Practice Address - Phone:971-222-7482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-10
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORR4421101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health