Individual
ELIZABETH FEDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1206 E WARNER RD STE 203, GILBERT, AZ 85296-3132
(480) 590-3915
Mailing address
7400 S POWER RD STE 116, GILBERT, AZ 85297-9282
(480) 988-5003
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-15833
AZ
101YP2500X
Professional Counselor
Primary
LPC-17899
AZ
Other
Enumeration date
06/09/2016
Last updated
06/03/2019
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