Individual
JAMIE FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1581 SYCAMORE RD, YORKVILLE, IL 60560-1952
(630) 552-9890
Mailing address
1581 SYCAMORE RD, YORKVILLE, IL 60560-1952
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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