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Ms. Jessica L Fredericks
Professional Counselor in St Louis Park, Minnesota
NPI 1598418238

Jessica L Fredericks is a Professional Counselor based in Bloomington, MN and is specialized in Professional. Jessica L Fredericks practices in St Louis Park, MN. The NPI Number for Jessica L Fredericks is 1598418238 and holds a License No. (Minnesota).

The current practice location address for Jessica L Fredericks is 7601 Wayzata Blvd, St Louis Park, MN and can be reached out via phone at 612-223-8898.

Location: 7601 Wayzata Blvd, St Louis Park, MN, 55437-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598418238
Provider Name
Jessica L Fredericks
Credential
Provider Entity Type
Individual
Gender
Female
Address
7601 Wayzata Blvd, St Louis Park, MN, 55437-2544
Phone Number
612-223-8898
Fax Number
Provider Enumeration Date
02/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
7601 Wayzata Blvd
City
St Louis Park
State
Minnesota
Zip
55426-1626
Phone Number
612-223-8898
Fax Number
person
Provider Business Mailing Address Details
Address
7601 Wayzata Blvd
City
St Louis Park
State
Minnesota
Zip
55426-1626
Phone Number
612-223-8898
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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