Provider Demographics
NPI:1194315051
Name:HAAS, REBECCA (MA, NCC, LPCA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HAAS
Suffix:
Gender:F
Credentials:MA, NCC, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 DURANT ST APT 203
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-7357
Mailing Address - Country:US
Mailing Address - Phone:704-419-3690
Mailing Address - Fax:
Practice Address - Street 1:2207 DELANEY DR STE 107
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5263
Practice Address - Country:US
Practice Address - Phone:336-684-9951
Practice Address - Fax:336-512-0554
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-24
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA16262101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional