Individual
KIRSTEN FREDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
301 NORTHERN PACIFIC AVE N, FARGO, ND 58102-4835
(701) 271-3344
Mailing address
701 33RD AVE N APT 304, FARGO, ND 58102-1056
(701) 527-4188
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
931-1-1-18-570
ND
101YP2500X
Professional Counselor
Primary
931-1-1-18-570
ND
Other
Enumeration date
04/08/2025
Last updated
04/17/2025
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