Individual
DANIELLE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
123 HOW LANE, NEW BRUNSWICK, NJ 08901
(732) 993-9762
(732) 626-4544
Mailing address
123 HOW LN, NEW BRUNSWICK, NJ 08901-3653
(732) 993-9762
(732) 626-4544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00224200
NJ
104100000X
Social Worker
067712-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0404471
—
NJ
Enumeration date
10/19/2006
Last updated
04/21/2015
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