MR. Timothy Fredrickson, LCPC

NPI #1922073642 in Rockford, Illinois

Provider Information

NPI Number
1922073642
Entity Type
Individual
Name
MR. Timothy Fredrickson, LCPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LCPC
Enumeration Date
Feb 17, 2006
Last Updated
Nov 6, 2023

Practice Location

Address
1639 N ALPINE RD STE 403
ZIP Code
61107-1440
Phone
(815) 229-7102

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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