Individual provider · Type 1 NPI

Samuel Fredrickson

Marriage & Family Therapist · Madison, WI

NPI number 1336988930 Active

Practice location

579 Donofrio Dr Ste 206
Madison, WI 53719-2839

Mailing address

563 Stonewood Ct
Evansville, WI 53536-9001

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1336988930

Samuel Fredrickson's National Provider Identifier is 1336988930, issued on May 22, 2024. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Madison, WI. The record was last updated on May 22, 2024.