Provider Demographics
NPI:1255932497
Name:FREKING, REBECCA ANN (MS, IMFT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:FREKING
Suffix:
Gender:F
Credentials:MS, IMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:551 TUSCULUM AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45226-1773
Mailing Address - Country:US
Mailing Address - Phone:513-484-4420
Mailing Address - Fax:
Practice Address - Street 1:2245 GILBERT AVE STE 303
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-3000
Practice Address - Country:US
Practice Address - Phone:513-216-0068
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-04
Last Update Date:2020-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHF.2000137106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist