Provider Demographics
NPI:1184075947
Name:NATENBERG, REBEKAH (LPC)
Entity type:Individual
Prefix:
First Name:REBEKAH
Middle Name:
Last Name:NATENBERG
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:BECKY
Other - Middle Name:
Other - Last Name:NATENBERG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3433 W 38TH AVE
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-1911
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3433 W 38TH AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80211-1911
Practice Address - Country:US
Practice Address - Phone:928-853-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-23
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13374101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional