Individual provider · Type 1 NPI

Fredericka C. Wilfong, M.DIV

Counselor · Maitland, FL

NPI number 1003042151 Active

Practice location

1009 Maitland Center Commons Blvd, Suite 212
Maitland, FL 32751-7270

Call (800) 840-2528 Map

Mailing address

7729 Pineapple Dr
Orlando, FL 32835-5311

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XIMT2141 (FL)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1003042151

Fredericka C. Wilfong, M.DIV's National Provider Identifier is 1003042151, issued on Jun 3, 2009. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Maitland, FL. The record was last updated on Oct 19, 2015.