National Provider Identifier Database

REBECCA KUSHNER
Professional


Contact Information

REBECCA KUSHNER
924 EMERALD BAY RD STE A2
SOUTH LAKE TAHOE, CA96150-6434
Phone: 530-544-2111
Fax:
Website:
Specialty Taxonomy Code
* Professional 101YP2500X
Case Manager/Care Coordinator 171M00000X
Clinical Child & Adolescent 103TC2200X
Counselor 101Y00000X
Dance Therapist 225600000X

* Indicates primary specialty

NPI Profile & details for REBECCA KUSHNER

NPI Number 1538880315
Credentials
Entity Individual
Enumeration date 09/08/2022
Last updated 06/27/2024 - More than a year ago
Sole proprietor1 No
Identifiers
  • CA License #: 16874
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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