Healthcare Provider Details

I. General information

NPI: 1215355482
Provider Name (Legal Business Name): REBECCA KANADY HUSTON LPC, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2014
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N 2ND ST
HAMILTON MT
59840-2107
US

IV. Provider business mailing address

603 N 2ND ST
HAMILTON MT
59840-2107
US

V. Phone/Fax

Practice location:
  • Phone: 512-799-0402
  • Fax: 512-392-2567
Mailing address:
  • Phone: 512-799-0402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number67458
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: