Provider Demographics
NPI:1164877528
Name:FREEMAN, REBECCA L (MS, LCGC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:L
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:MS, LCGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 52ND ST FL 3
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1810
Mailing Address - Country:US
Mailing Address - Phone:510-428-3156
Mailing Address - Fax:510-450-5470
Practice Address - Street 1:744 52ND ST FL 3
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1810
Practice Address - Country:US
Practice Address - Phone:510-428-3156
Practice Address - Fax:510-450-5670
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-04
Last Update Date:2022-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS