Provider Demographics
NPI:1306960448
Name:WITHROW, REBECCA LEE (PHD, LPC, ITFS)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:LEE
Last Name:WITHROW
Suffix:
Gender:F
Credentials:PHD, LPC, ITFS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 WOODROW AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1701
Mailing Address - Country:US
Mailing Address - Phone:828-253-7592
Mailing Address - Fax:
Practice Address - Street 1:31 CLAYTON ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-2423
Practice Address - Country:US
Practice Address - Phone:828-253-7592
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-16
Last Update Date:2009-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5533101YP2500X
NC104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker