Provider Demographics
NPI:1487340147
Name:ZEPEDA, REBECCA AURORA (M ED)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:AURORA
Last Name:ZEPEDA
Suffix:
Gender:F
Credentials:M ED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:209 SECRETARIAT DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-3183
Mailing Address - Country:US
Mailing Address - Phone:979-241-5290
Mailing Address - Fax:
Practice Address - Street 1:403 E HILLJE ST
Practice Address - Street 2:
Practice Address - City:EL CAMPO
Practice Address - State:TX
Practice Address - Zip Code:77437-4503
Practice Address - Country:US
Practice Address - Phone:979-253-3849
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX91405101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty