Provider Demographics
NPI:1992512495
Name:WEMESFELDER, REBECCA CAROLINE (MHC)
Entity type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:CAROLINE
Last Name:WEMESFELDER
Suffix:
Gender:F
Credentials:MHC
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:CAROLINE
Other - Last Name:ABLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MHC
Mailing Address - Street 1:17 E GENESEE ST STE 1
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:NY
Mailing Address - Zip Code:13021-4068
Mailing Address - Country:US
Mailing Address - Phone:315-253-9795
Mailing Address - Fax:315-253-3253
Practice Address - Street 1:17 E GENESEE ST STE 1
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:NY
Practice Address - Zip Code:13021-4068
Practice Address - Country:US
Practice Address - Phone:315-253-9795
Practice Address - Fax:315-253-3253
Is Sole Proprietor?:No
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health