Individual provider · Type 1 NPI

Timothy Fredrickson

Mental Health Counselor · Madison, WI

NPI number 1477248664 Active

Practice location

660 W Washington Ave
Madison, WI 53703-4703

Call (608) 444-5106 Map

Mailing address

PO Box 294
Stoughton, WI 53589-0294

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X11167-125 (WI)

Mental Health Counselor: Definition to come...

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About NPI 1477248664

Timothy Fredrickson's National Provider Identifier is 1477248664, issued on Apr 5, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Madison, WI. The record was last updated on Sep 10, 2024.