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

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.192304 (OH)
Community Health Worker 172V00000XNone listed

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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.