Individual
REBEL BT CRAIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPCC4505
CA
Other
Enumeration date
04/12/2013
Last updated
08/28/2025
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