Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. TIMOTHY FREDRICKSON, LCPC
Active Sole ProprietorMR. TIMOTHY FREDRICKSON, LCPC is a Professional Counselor healthcare provider located in ROCKFORD, Illinois. NPI 1922073642 is currently active in the NPPES registry. Verify at CMS.
Professional Counselor · ROCKFORD, IL
Registration Details
- NPI Number
- 1922073642
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 17, 2006 (20.305164218698 yrs)
- Last Updated
- Nov 6, 2023
- License
-
180-001837 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1639 N ALPINE RD STE 403ROCKFORD, IL, 611071440Browse IL providers · Browse ZIP 61107
- Phone
- 8152297102
- Fax
- 8152297108
- Primary Specialty
-
Professional Counselor
101YP2500X
Other Professional Counselor Providers in ROCKFORD, IL
| Name | Credential | NPI |
|---|---|---|
| MS. CONSTANCE MILLER GARRY | LCPC | 1639153588 |
| MRS. JANNA K BECHERER | LCPC | 1861479537 |
| MR. TERRY L MINNICK | LCPC | 1477530723 |
| DR. JAMES D PARRISH | LCPC | 1083691018 |
| MR. NORMAN C DASENBROOK | M.S., L.C.P.C. | 1760450407 |
| NADIA JOHNSON | — | 1669441655 |
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.