Healthcare Provider Details

I. General information

NPI: 1376460220
Provider Name (Legal Business Name): REBEKAH ZUCKERMAN RESIDENT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: REBEKAH ADAMS

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 WIMBLEDON SQ STE G
CHESAPEAKE VA
23320-5036
US

IV. Provider business mailing address

109 WIMBLEDON SQ STE G
CHESAPEAKE VA
23320-5036
US

V. Phone/Fax

Practice location:
  • Phone: 757-347-8840
  • Fax: 757-829-1667
Mailing address:
  • Phone: 757-347-8840
  • Fax: 757-829-1667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0704018649
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: