Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN CAROL FREDRIKSEN, PH.D., LMHC, LMFT
ActiveJACLYN CAROL FREDRIKSEN, PH.D., LMHC, LMFT is a Mental Health Counselor healthcare provider located in CHERRY VALLEY, New York. NPI 1710654777 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · CHERRY VALLEY, NY
Registration Details
- NPI Number
- 1710654777
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 26, 2021 (4.9787785652432 yrs)
- Last Updated
- Aug 1, 2024
- Licenses
-
002156 (NY)012161 (NY)
Practice Information
- Address
-
3212 COUNTY HIGHWAY 31CHERRY VALLEY, NY, 133203702Browse NY providers · Browse ZIP 13320
- Phone
- 6076774052
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
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.