Individual
ASHLEY FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1735 30TH AVE N UNIT 1/2, ST PETERSBURG, FL 33713-4156
(970) 365-3802
Mailing address
4795 SIGNAL ROCK RD, COLORADO SPRINGS, CO 80922-1625
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1336797224
CO
Other
Enumeration date
09/03/2019
Last updated
12/07/2023
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