# KERA K. FREDERICK DBA CAPITAL CITY COUNSELING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063696417
- **Authorized official:** KERA KRISTINE FREDERICK (OWNER)
- **Authorized official phone:** (402) 488-0101

## Contact information

- **Practice address:** 7405 PIONEERS BLVD STE B, LINCOLN, NE 68506-7554
- **Practice address phone:** (402) 488-0808
- **Practice address fax:** (402) 488-0301
- **Mailing address:** 7405 PIONEERS BLVD STE B, LINCOLN, NE 68506-7554
- **Mailing address phone:** (402) 499-3001
- **Mailing address fax:** (402) 488-0301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | 1728 | NE | Yes |

## Other

- **Enumeration date:** 12/20/2007
- **Last updated:** 02/22/2019