Individual provider · Type 1 NPI

Irina Fredericks, PhD, LMHC

Mental Health Counselor · St. Petersburg, FL

NPI number 1528337904 Active

Practice location

7901 4th St N Ste 300
St. Petersburg, FL 33702-4399

Mailing address

4900 N Ocean Blvd Apt 1703
Lauderdale By The Sea, FL 33308-2939

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1528337904

Irina Fredericks, PhD, LMHC's National Provider Identifier is 1528337904, issued on Dec 14, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in St. Petersburg, FL. The record was last updated on Apr 30, 2023.