Individual
DR. KORY LEE FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., LMHC
Contact information
Practice address
3811 38TH ST, DES MOINES, IA 50310-3648
(515) 280-3339
(515) 280-7999
Mailing address
3841 TWANA DR, DES MOINES, IA 50310-4232
(515) 727-6434
(515) 727-6434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00867
IA
Other
Enumeration date
11/15/2006
Last updated
07/08/2007
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