Individual
CARRIE FREDRICKSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2226 W NEWTON LN, CAMP VERDE, AZ 86322-4939
(520) 271-6319
Mailing address
2226 W NEWTON LN, CAMP VERDE, AZ 86322-4939
(520) 271-6319
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-19512
AZ
Other
Enumeration date
05/27/2024
Last updated
05/27/2024
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