Individual
MS. REBECCA ISMART FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., LMFT, QMHP
Contact information
Practice address
965 LIBERTY ST SE, SALEM, OR 97302-4138
(503) 588-2004
Mailing address
2865 UPPER BRECKENRIDGE LOOP NW, SALEM, OR 97304-3435
(301) 651-3484
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
T0662
OR
Other
Enumeration date
06/19/2007
Last updated
10/03/2011
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