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NPI Code Detail

MEDICARE: REBECCA BOOTH

MEDICARE: REBECCA BOOTH
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
1101Y00000XCounselorWA
2175T00000XPeer SpecialistWA

General Provider Information

NPI Number : 1578419412
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA BOOTH
Provider Business Mailing Address
First Line : 306 MARIE AVE
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-1313
Country : US
Telephone Number : 509-662-6761
Fax Number :
Provider Business Practice Location Address
First Line : 145 S WORTHEN ST
Second Line :
City : WENATCHEE
State : WA
Zip : 98801-3081
Country : US
Telephone Number : 509-662-6761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/06/2026

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Directions to “ REBECCA BOOTH ” Practice Location

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