Provider Demographics
NPI:1962623140
Name:COMPTON, REBECCA HOLT (MA)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:HOLT
Last Name:COMPTON
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:713 5T ST. NW
Mailing Address - Street 2:
Mailing Address - City:ATTALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35954
Mailing Address - Country:US
Mailing Address - Phone:256-538-6862
Mailing Address - Fax:
Practice Address - Street 1:4823 N. ROYAL ATLANTA DR.
Practice Address - Street 2:
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084
Practice Address - Country:US
Practice Address - Phone:770-939-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor