TRACEY FREDERIKSEN, MC

Counselor - Mental Health

Active Individual
NPI: 1093961708

Practice Address

2228 LAKEWOOD DR
Prescott, AZ 86301

Phone: (928) 583-2580

Specialties

Specialty Code Primary License
Counselor - Mental Health 101YM0800X Yes LAC-11878 (AZ)

Frequently Asked Questions

NPI 1093961708 is the National Provider Identifier for TRACEY FREDERIKSEN, MC, a Counselor - Mental Health provider located in Prescott, AZ. This NPI was enumerated on August 13, 2008.
TRACEY FREDERIKSEN, MC practices at 2228 LAKEWOOD DR, Prescott, AZ 86301.

Quick Facts

NPI
1093961708
Type
Individual
Enumerated
Aug 13, 2008
Last Updated
Aug 13, 2008

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