Individual
JULIE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1372 AIRPORT RD, KALISPELL, MT 59901-5701
(406) 407-0815
Mailing address
1372 AIRPORT RD, KALISPELL, MT 59901-5701
(406) 407-0815
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-19128
MT
Other
Enumeration date
10/17/2016
Last updated
10/24/2023
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