Individual provider · Type 1 NPI

Makenna Nicole Fredericks, MHC-LP

Counselor · Poughkeepsie, NY

NPI number 1205795234 Active

Practice location

115 Delafield St
Poughkeepsie, NY 12601-1749

Call (845) 240-7707 Map

Mailing address

15 Fortune Rd W
Middletown, NY 10941-1625

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XP139954 (NY)

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 1205795234

Makenna Nicole Fredericks, MHC-LP's National Provider Identifier is 1205795234, issued on Jan 16, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Poughkeepsie, NY. The record was last updated on Jan 16, 2026.