person
Tracey Frederiksen, MC
Mental Health Counselor in Prescott, Arizona
NPI 1093961708

Tracey Frederiksen is a Mental Health Counselor based in Prescott, AZ and is specialized in Mental Health. Tracey Frederiksen practices in Prescott, AZ and has the professional credentials of MC. The NPI Number for Tracey Frederiksen is 1093961708 and holds a License No. LAC-11878 (Arizona).

The current practice location address for Tracey Frederiksen is 2228 Lakewood Dr, Prescott, AZ and can be reached out via phone at 928-583-2580.

Location: 2228 Lakewood Dr, Prescott, AZ, 86301-4476
person
Provider Profile Details
NPI Number
1093961708
Provider Name
Tracey Frederiksen
Credential
MC
Provider Entity Type
Individual
Gender
Female
Address
2228 Lakewood Dr, Prescott, AZ, 86301-4476
Phone Number
928-583-2580
Fax Number
Provider Enumeration Date
08/13/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2228 Lakewood Dr
City
State
Zip
86301-4476
Phone Number
928-583-2580
Fax Number
person
Provider Business Mailing Address Details
Address
2228 Lakewood Dr
City
State
Zip
86301-4476
Phone Number
928-583-2580
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LAC-11878 (Arizona)
Definition
Definition to come...
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