Provider Demographics
NPI:1336946003
Name:YAKEL, REBECCA JANE (LCMHCA, NCC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:JANE
Last Name:YAKEL
Suffix:
Gender:
Credentials:LCMHCA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13306 PENMON DR
Mailing Address - Street 2:
Mailing Address - City:FUQUAY VARINA
Mailing Address - State:NC
Mailing Address - Zip Code:27526-3631
Mailing Address - Country:US
Mailing Address - Phone:743-209-1207
Mailing Address - Fax:
Practice Address - Street 1:44 HARMON RD
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-6761
Practice Address - Country:US
Practice Address - Phone:910-814-5709
Practice Address - Fax:910-893-1220
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20287101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health