Individual provider · Type 1 NPI
Jessica Kulik Frederick, LCDC III, QMHS
Addiction (Substance Use Disorder) Counselor · Akron, OH
NPI number
1679326532
Active
Practice location
838 Coburn St
Akron, OH 44311-1459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CDCA.192304 (OH) |
| Community Health Worker | 172V00000X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1679326532
Jessica Kulik Frederick, LCDC III, QMHS's National Provider Identifier is 1679326532, issued on Apr 10, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Akron, OH. The record was last updated on May 4, 2026.