Katelynn Frederickson

NPI #1881404283 in Fountain, Colorado

Provider Information

NPI Number: 1881404283
Entity Type: Individual
Name: Katelynn Frederickson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor
Enumeration Date: Jan 9, 2025
Last Updated: Jan 9, 2025

Practice Location

Address: 902 GRINDE DR
City: Fountain
State: Colorado
ZIP Code: 80817-1752
Phone: (718) 702-9019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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