Individual provider · Type 1 NPI

Nancy Fredrick, LCPC

Professional Counselor · Rockford, IL

NPI number 1457774390 Active

Practice location

1200 W State St
Rockford, IL 61102-2112

Fax (815) 490-1881

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180010935 (IL)

Professional Counselor: Definition to come...

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About NPI 1457774390

Nancy Fredrick, LCPC's National Provider Identifier is 1457774390, issued on Jan 29, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Jul 14, 2026.