Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACEY FREDERIKSEN, MC
Active Sole ProprietorTRACEY FREDERIKSEN, MC is a Mental Health Counselor healthcare provider located in PRESCOTT, Arizona. NPI 1093961708 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PRESCOTT, AZ
Registration Details
- NPI Number
- 1093961708
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 13, 2008 (17.961876975623 yrs)
- Last Updated
- Aug 13, 2008
- License
-
LAC-11878 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2228 LAKEWOOD DRPRESCOTT, AZ, 863014476Browse AZ providers · Browse ZIP 86301
- Phone
- 9285832580
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| MRS. GAIL ANN WAGNER | M.S. | 1003838582 |
| SUSAN BERTHA KULLMAN | LCSW | 1467506816 |
| WILLIAM C WENNERHOLM | LCSW | 1912198128 |
| MS. CLOY RENEE DELLARIPA | M.C. | 1235309923 |
| DR. KENNETH HAROLD KASNER | PH.D. | 1720250848 |
| DR. DEBBIE RITTERBUSH | PHD | 1699089730 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.