| Rebekah Kanefsky, Lpc, Llc | |
|
66 Pershing Ave Stamford CT 06905-3328 | |
| (646) 334-2420 | |
| Not Available |
| Full Name | Rebekah Kanefsky, Lpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 66 Pershing Ave, Stamford, Connecticut |
| Authorized Official Name and Position | Rebekah Kanefsky (PROVIDER) |
| Authorized Official Contact | 6463342420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebekah Kanefsky, Lpc, Llc 1127 High Ridge Rd Ste 245 Stamford CT 06905-1203 Ph: () - | Rebekah Kanefsky, Lpc, Llc 66 Pershing Ave Stamford CT 06905-3328 Ph: (646) 334-2420 |
| NPI Number | 1790138618 |
|---|---|
| Provider Enumeration Date | 07/15/2016 |
| Last Update Date | 01/24/2024 |
| Certification Date | 01/24/2024 |
| Medicare PECOS PAC ID | 7911359922 |
|---|---|
| Medicare Enrollment ID | O20240116000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790138618 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Rebekah Kanefsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649630799 PECOS PAC ID: 8820440837 Enrollment ID: I20240116000681 |
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