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Individual

DR. JON FREDERICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD, LPC

Contact information

Practice address
155 S MADISON ST STE 306, DENVER, CO 80209-3014
(725) 867-0252
Mailing address
3020 W 107TH PL UNIT E, WESTMINSTER, CO 80031-7719
(725) 867-0252

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
12/20/2020
Last updated
01/31/2024
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