Individual provider · Type 1 NPI

Alan Fredericksen, M.A., CADC

Addiction (Substance Use Disorder) Counselor · Sioux City, IA

NPI number 1184035461 Active

Practice location

1221 Pierce St
Sioux City, IA 51105-1418

Call (712) 255-0204 Map

Mailing address

1221 Pierce St.
Sioux City, IA 51105

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14019 (IA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1184035461

Alan Fredericksen, M.A., CADC's National Provider Identifier is 1184035461, issued on May 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sioux City, IA. The record was last updated on May 8, 2014.