person
Mr. James Fredrick, SAC-IT
Addiction (Substance Use Disorder) Counselor in West Bend, Wisconsin
NPI 1487829446

James Fredrick is an Addiction (Substance Use Disorder) Counselor based in West Bend, WI and is specialized in Addiction (Substance Use Disorder). James Fredrick practices in West Bend, WI and has the professional credentials of SAC-IT. The NPI Number for James Fredrick is 1487829446 and holds a License No. 15489-130 (Wisconsin).

The current practice location address for James Fredrick is 1626 Clarence Ct, West Bend, WI and can be reached out via phone at 262-338-8611 and via fax at 262-338-3367.

Location: 1626 Clarence Ct, West Bend, WI, 53095-8533
person
Provider Profile Details
NPI Number
1487829446
Provider Name
James Fredrick
Credential
SAC-IT
Provider Entity Type
Individual
Gender
Male
Address
1626 Clarence Ct, West Bend, WI, 53095-8533
Phone Number
262-338-8611
Fax Number
262-338-3367
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1626 Clarence Ct
City
State
Zip
53095-8533
Phone Number
262-338-8611
Fax Number
262-338-3367
person
Provider Business Mailing Address Details
Address
1626 Clarence Ct
City
State
Zip
53095-8533
Phone Number
262-338-8611
Fax Number
262-338-3367
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
15489-130 (Wisconsin)
Definition
Definition to come...
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