MEDICARE: REBEKAH CHEN LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	007645	NY

General Provider Information

NPI Number	:	1114324514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBEKAH CHEN LMHC

Provider Business Mailing Address
First Line	:	1274 BRIGHTON RD
Second Line	:
City	:	TONAWANDA
State	:	NY
Zip	:	14150-8450
Country	:	US
Telephone Number	:	716-418-5464
Fax Number	:

Provider Business Practice Location Address
First Line	:	610 ASHLAND AVE
Second Line	:
City	:	BUFFALO
State	:	NY
Zip	:	14222-1309
Country	:	US
Telephone Number	:	716-883-7713
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/01/2014
Last Update Date	:	01/15/2021

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