Rebecca Joy Illg, CT
Counselor, Mental Health in Cincinnati, OH. Individual provider (NPI-1).
NPI number1356830483
StatusActive
Last updated in NPPESMay 3, 2018
Details
- NPI
- 1356830483
- Entity type
- Individual (NPI-1)
- Name
- Rebecca Joy Illg
- Credential
- CT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 3, 2018
- Last updated
- May 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 310536663 | OH | Yes |
Practice location
3325 Glenmore AveCincinnati, OH 45211-6510
Phone 513-231-6630
Mailing address
3325 Glenmore AveCincinnati, OH 45211-6510
Phone 513-231-6630
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