Individual
JORDAN FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
87 N CANTON RD, AKRON, OH 44305-3838
(330) 794-4254
(440) 794-4262
Mailing address
1333 HOMESITE DR, STOW, OH 44224-1231
(440) 539-3258
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2405811
OH
Other
Enumeration date
04/27/2023
Last updated
06/23/2024
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