MS. Jann R. Fredrickson, MA L.I.C.S.W.

NPI #1467507509 in Newport, Minnesota

Provider Information

NPI Number
1467507509
Entity Type
Individual
Name
MS. Jann R. Fredrickson, MA L.I.C.S.W.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Mental Health
Credential
MA L.I.C.S.W.
Enumeration Date
Jan 25, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
303 21ST ST
Address 2
SUITE 209
ZIP Code
55055-1094
Phone
(651) 208-6458

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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