Rebecca Shawnita Tomblin, BA
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Cheylan, WV
NPI 1750145512 · NPPES record last updated Feb 12, 2024
Key facts
- NPI
- 1750145512
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 200 Upper Kanawha Valley Way
Cheylan, WV 25506 - Phone
- (304) 553-2034
- NPI assigned
- Feb 12, 2024
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Bachelor of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WV | Yes |
Addresses
Primary practice location
200 Upper Kanawha Valley Way
Cheylan, WV 25506
Mailing address
PO Box 241
Branchland, WV 25506
Phone (304) 223-0796
Other providers in Cheylan, WV
All providers in Cheylan, WV · Addiction (Substance Use Disorder) Counselor in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.