Individual
KATHERYN FREDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3830 E. BELLEVUE ST., TUCSON, AZ 85716
(520) 323-1708
Mailing address
3830 E BELLEVUE ST, TUCSON, AZ 85716-4012
(520) 323-1708
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LASAC-13329
AZ
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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