Individual
MS. ELIZABETH A FREDRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE N-3, AUSTIN, TX 78759-8661
(512) 914-0006
(512) 343-2304
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE N-3, AUSTIN, TX 78759-8661
(512) 914-0006
(512) 343-2304
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
36895
TX
1041C0700X
Clinical Social Worker
Primary
36895
TX
Other
Enumeration date
12/29/2010
Last updated
06/09/2014
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