Individual
MRS. KRISTEN MAE FREDERICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
1825 COMMERCE CENTER BLVD, FAIRBORN, OH 45324-6336
(937) 879-3400
Mailing address
8940 KINGSRIDGE DR STE 106, DAYTON, OH 45458-1632
(937) 813-4485
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.2305185
OH
101YP2500X
Professional Counselor
Primary
E.2505678
OH
Other
Enumeration date
03/22/2022
Last updated
10/27/2025
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