Individual provider · Type 1 NPI

Marguerite Eowyn Fredericksen

Professional Counselor · Wichita, KS

NPI number 1508540857 Active

Practice location

545 N Woodlawn St
Wichita, KS 67208-3645

Call (316) 260-6889 Map

Mailing address

644 Trotter St
Maize, KS 67101-9649

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X01135-T (KS)
Professional Counselor Primary 101YP2500X04330 (KS)

Professional Counselor: Definition to come...

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About NPI 1508540857

Marguerite Eowyn Fredericksen's National Provider Identifier is 1508540857, issued on Jun 14, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wichita, KS. The record was last updated on Jun 14, 2023.