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NPI Code Detail

MEDICARE: REBECCA GREENHOUSE

MEDICARE: REBECCA GREENHOUSE
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
1101YS0200XSchool Counselor220047728CA

General Provider Information

NPI Number : 1568324275
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA GREENHOUSE
Provider Business Mailing Address
First Line : 7260 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6128
Country : US
Telephone Number : 858-496-1613
Fax Number :
Provider Business Practice Location Address
First Line : 7260 LINDA VISTA RD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-6128
Country : US
Telephone Number : 858-496-1613
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2025
Last Update Date : 12/01/2025

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Directions to “ REBECCA GREENHOUSE ” Practice Location

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