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NPI Code Detail

MEDICARE: REBECCA ENGLEBRETSEN

MEDICARE: REBECCA ENGLEBRETSEN
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1477186658
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA ENGLEBRETSEN
Provider Business Mailing Address
First Line : 66 KIRKLAND RD
Second Line :
City : WEYMOUTH
State : MA
Zip : 02190-1662
Country : US
Telephone Number : 781-439-5632
Fax Number :
Provider Business Practice Location Address
First Line : 190 LENOX ST
Second Line :
City : NORWOOD
State : MA
Zip : 02062-3416
Country : US
Telephone Number : 781-769-8670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2020
Last Update Date : 05/20/2026

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Directions to “ REBECCA ENGLEBRETSEN ” Practice Location

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