Provider Demographics
NPI:1720619737
Name:MERSON, REBECCA MORGAN
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MORGAN
Last Name:MERSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 W HILL RD APT 2
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-4211
Mailing Address - Country:US
Mailing Address - Phone:802-355-9157
Mailing Address - Fax:
Practice Address - Street 1:2455 E PARLEYS WAY STE 205
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84109-1241
Practice Address - Country:US
Practice Address - Phone:801-206-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-29
Last Update Date:2025-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12072766-6004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor