Individual
DALE CARL FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, MDIV, PHD
Contact information
Practice address
7505 VILLAGE SQUARE DR, CASTLE PINES, CO 80108-3692
(303) 323-4722
Mailing address
7505 VILLAGE SQUARE DR STE 307, CASTLE PINES, CO 80108-3692
(303) 323-4722
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2021
Last updated
01/07/2021
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