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NPI Code Detail

MEDICARE: REBECCA VERDIN

MEDICARE: REBECCA VERDIN
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
2101YP2500XProfessional Counselor97116TX
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1437748035
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA VERDIN
Provider Business Mailing Address
First Line : 1602 W PINHOOK RD
Second Line :
City : LAFAYETTE
State : LA
Zip : 70508-3735
Country : US
Telephone Number : 373-534-0770
Fax Number :
Provider Business Practice Location Address
First Line : 6777 CAMP BOWIE BLVD STE 229
Second Line :
City : FORT WORTH
State : TX
Zip : 76116-7157
Country : US
Telephone Number : 682-703-1311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2021
Last Update Date : 01/19/2026

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Directions to “ REBECCA VERDIN ” Practice Location

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