Healthcare Provider Details

I. General information

NPI: 1164066833
Provider Name (Legal Business Name): REBECCA A ZABINSKI MA, LPCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA A GALLEGOS

II. Dates (important events)

Enumeration Date: 11/05/2019
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1068 LAKE ST S STE 109
FOREST LAKE MN
55025-2633
US

IV. Provider business mailing address

1068 LAKE ST S STE 109
FOREST LAKE MN
55025-2633
US

V. Phone/Fax

Practice location:
  • Phone: 612-655-5642
  • Fax: 651-982-6035
Mailing address:
  • Phone: 612-655-5642
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC02194
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: