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Organization
FREDRIKSEN MENTAL HEALTH COUNSELING PC
Active
Organization
FREDRIKSEN MENTAL HEALTH COUNSELING PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN CAROL FREDRIKSEN PH.D., LMHC, LMFT (OWNER/OPERATOR)
(607) 677-4052
Entity
Organization
Contact information
Practice address
3212 COUNTY HIGHWAY 31, CHERRY VALLEY, NY 13320-3702
(607) 677-4052
Mailing address
PO BOX 12, FORT PLAIN, NY 13339-9998
(607) 677-4052
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
10/05/2024
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