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Ms. Jann R. Fredrickson, MALICSW
Mental Health Counselor in Newport, Minnesota
NPI 1467507509

Jann R. Fredrickson is a Mental Health Counselor based in Newport, MN and is specialized in Mental Health. Jann R. Fredrickson practices in Newport, MN and has the professional credentials of MALICSW. The NPI Number for Jann R. Fredrickson is 1467507509 and holds a License No. 08938 (Minnesota).

The current practice location address for Jann R. Fredrickson is 303 21St St, Newport, MN and can be reached out via phone at 651-208-6458.

Location: 303 21St St, Newport, MN, 55055-1094
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467507509
Provider Name
Jann R. Fredrickson
Credential
MALICSW
Provider Entity Type
Individual
Gender
Female
Address
303 21St St, Newport, MN, 55055-1094
Phone Number
651-208-6458
Fax Number
Provider Enumeration Date
01/25/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
08938 01 MN STATE LICENSURE
institution
Provider Business Practice Location Address Details
Address
303 21St St
City
Newport
State
Minnesota
Zip
55055-1094
Phone Number
651-208-6458
Fax Number
person
Provider Business Mailing Address Details
Address
303 21St St
City
Newport
State
Minnesota
Zip
55055-1094
Phone Number
651-208-6458
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
08938 (Minnesota)
Definition
Definition to come...
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