Individual
DANA GESTAL FREDERICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
66 HILL RD, REDDING, CT 06896-2319
(415) 730-2744
Mailing address
66 HILL RD, REDDING, CT 06896-2319
(415) 730-2744
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004591
CT
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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