Individual
JAMIE FREDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, MHP, LMFTA
Contact information
Practice address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 491-1325
Mailing address
1902 2ND AVE, SEATTLE, WA 98101-1155
(206) 491-1325
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MG60803730
WA
103K00000X
Behavior Analyst
F636-4319-3716-06
WA
106H00000X
Marriage & Family Therapist
MG60803730
WA
Other
Enumeration date
09/13/2017
Last updated
02/19/2019
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