Individual
MR. JAMES FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SAC-IT
Contact information
Practice address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Mailing address
1626 CLARENCE CT, WEST BEND, WI 53095-8533
(262) 338-8611
(262) 338-3367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
15489-130
WI
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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