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Samantha Frederick
Counselor in Clarkston, Washington
NPI 1053736199

Samantha Frederick is a Counselor based in Clarkston, WA. Samantha Frederick practices in Clarkston, WA. The NPI Number for Samantha Frederick is 1053736199 and holds a License No. (Washington).

The current practice location address for Samantha Frederick is 900 7Th Street, Clarkston, WA and can be reached out via phone at 509-758-3341.

Location: 900 7Th Street, Clarkston, WA, 99403
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053736199
Provider Name
Samantha Frederick
Credential
Provider Entity Type
Individual
Gender
Female
Address
900 7Th Street, Clarkston, WA, 99403
Phone Number
509-758-3341
Fax Number
Provider Enumeration Date
02/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1000001 01 WA 1000001
institution
Provider Business Practice Location Address Details
Address
900 7Th Street
City
Clarkston
State
Washington
Zip
99403
Phone Number
509-758-3341
Fax Number
person
Provider Business Mailing Address Details
Address
900 7Th Street
City
Clarkston
State
Washington
Zip
99403
Phone Number
509-758-3341
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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