Organization
CARRIE FREDRICKSEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE FREDRICKESEN LPC (OWNER)
(928) 300-5070
Entity
Organization
Contact information
Practice address
830 S 5TH ST STE IF, COTTONWOOD, AZ 86326-4325
(928) 300-5070
Mailing address
2226 W NEWTON LN, CAMP VERDE, AZ 86322-4939
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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