Individual
INGRID NASCIMENTO FREDKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Mailing address
520 DUDLEY ST, ROXBURY, MA 02119-2769
(617) 445-6655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
MA
Other
Enumeration date
05/20/2026
Last updated
06/01/2026
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