Individual provider · Type 1 NPI

Kimberly Bass Fredericks, BS

Counselor · Biloxi, MS

NPI number 1285656348 Active

Practice location

400 Veterans Ave, (116B)
Biloxi, MS 39531-2410

Call (228) 523-4241 Map

Fax (228) 523-4675

Mailing address

8118 Georgia Ave
Gulfport, MS 39501-7541

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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 1285656348

Kimberly Bass Fredericks, BS's National Provider Identifier is 1285656348, issued on Jul 24, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Biloxi, MS. The record was last updated on Jul 8, 2007.