Individual
COURTNEY JESSICA FREDERICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
1420 ROOSEVELT AVE STE 2, MOUNT VERNON, WA 98273-2687
(360) 939-1450
Mailing address
1420 ROOSEVELT AVE STE 2, MOUNT VERNON, WA 98273-2687
(360) 939-1450
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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