Individual
KASSI FREDERICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(888) 657-3201
Mailing address
2301 HAMPTON AVE, SAINT LOUIS, MO 63139-2908
(888) 657-3201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/06/2014
Last updated
05/06/2014
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