Individual
ALICIA FREDERICKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-6563
Mailing address
3300 GALLOWS ROAD, KRISTEN CERANIC, FALLS CHURCH, VA 22042
(703) 776-7765
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701008836
VA
Other
Enumeration date
07/02/2021
Last updated
07/02/2021
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