MEDICARE: REBECCA ANN FREKING MS, IMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	F.2000137	OH

General Provider Information

NPI Number	:	1255932497
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA ANN FREKING MS, IMFT

Provider Business Mailing Address
First Line	:	551 TUSCULUM AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45226-1773
Country	:	US
Telephone Number	:	513-484-4420
Fax Number	:

Provider Business Practice Location Address
First Line	:	2245 GILBERT AVE STE 303
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45206-3000
Country	:	US
Telephone Number	:	513-216-0068
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2020
Last Update Date	:	11/04/2020

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