Provider Demographics
NPI:1891247052
Name:SOLOM, REBECCA C (MS, LMHC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:C
Last Name:SOLOM
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7408 N BIRCH CT
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9633
Mailing Address - Country:US
Mailing Address - Phone:509-228-8901
Mailing Address - Fax:509-228-8162
Practice Address - Street 1:7408 N BIRCH CT
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-9633
Practice Address - Country:US
Practice Address - Phone:509-228-8901
Practice Address - Fax:509-228-8162
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60659251101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1891247052Medicaid