MEDICARE: REBECCA ENG

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
1	101YP2500X	Professional Counselor	0024360	CO

General Provider Information

NPI Number	:	1740139617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ENG

Provider Business Mailing Address
First Line	:	1575 HIAWATHA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-2612
Country	:	US
Telephone Number	:	719-257-3148
Fax Number	:

Provider Business Practice Location Address
First Line	:	1575 HIAWATHA DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80915-2612
Country	:	US
Telephone Number	:	719-257-3148
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/24/2026
Last Update Date	:	01/24/2026

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Directions to “ REBECCA ENG ” Practice Location

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