Provider Demographics
NPI:1588855076
Name:NORTON, REBECCA (CADC-II, ICADC)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:NORTON
Suffix:
Gender:F
Credentials:CADC-II, ICADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:628 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BANNING
Mailing Address - State:CA
Mailing Address - Zip Code:92220-4512
Mailing Address - Country:US
Mailing Address - Phone:909-301-9812
Mailing Address - Fax:
Practice Address - Street 1:628 S 8TH ST STE A
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-4512
Practice Address - Country:US
Practice Address - Phone:951-849-9491
Practice Address - Fax:951-849-8262
Is Sole Proprietor?:No
Enumeration Date:2007-08-08
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)