person
Mr. Timothy Fredrickson, LCPC
Professional Counselor in Rockford, Illinois
NPI 1922073642

Timothy Fredrickson is a Professional Counselor based in Rockford, IL and is specialized in Professional. Timothy Fredrickson practices in Rockford, IL and has the professional credentials of LCPC. The NPI Number for Timothy Fredrickson is 1922073642 and holds a License No. 180-001837 (Illinois).

The current practice location address for Timothy Fredrickson is 1639 N Alpine Rd Ste 403, Rockford, IL and can be reached out via phone at 815-229-7102 and via fax at 815-229-7108.

Location: 1639 N Alpine Rd Ste 403, Rockford, IL, 61107-1440
person
Provider Profile Details
NPI Number
1922073642
Provider Name
Timothy Fredrickson
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
1639 N Alpine Rd Ste 403, Rockford, IL, 61107-1440
Phone Number
815-229-7102
Fax Number
815-229-7108
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1639 N Alpine Rd Ste 403
City
State
Zip
61107-1440
Phone Number
815-229-7102
Fax Number
815-229-7108
person
Provider Business Mailing Address Details
Address
1639 N Alpine Rd Ste 403
City
State
Zip
61107-1440
Phone Number
815-229-7102
Fax Number
815-229-7108
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180-001837 (Illinois)
Definition
Definition to come...
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