Individual provider · Type 1 NPI

Jordan Frederick

Mental Health Counselor · Stow, OH

NPI number 1073201034 Active

Practice location

3918 Clock Pointe Trl Ste 103
Stow, OH 44224-2989

Call (216) 839-2273 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XC.2405811 (OH)

Mental Health Counselor: Definition to come...

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About NPI 1073201034

Jordan Frederick's National Provider Identifier is 1073201034, issued on Apr 27, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stow, OH. The record was last updated on Jul 1, 2026.