Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. JANN R. FREDRICKSON, MA L.I.C.S.W.
Active Sole ProprietorMS. JANN R. FREDRICKSON, MA L.I.C.S.W. is a Mental Health Counselor healthcare provider located in NEWPORT, Minnesota. NPI 1467507509 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · NEWPORT, MN
Registration Details
- NPI Number
- 1467507509
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 25, 2007 (19.367979714806 yrs)
- Last Updated
- Jul 8, 2007
- License
-
08938 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
303 21ST STSUITE 209NEWPORT, MN, 550551094Browse MN providers · Browse ZIP 55055
- Phone
- 6512086458
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in NEWPORT, MN
| Name | Credential | NPI |
|---|---|---|
| CYNTHIA KAY HODGSON | MA, LPCC | 1437781820 |
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.