Individual provider · Type 1 NPI
Jaclyn Carol Fredriksen, PhD, LMHC, LMFT
Mental Health Counselor · Cherry Valley, NY
NPI number
1710654777
Active
Practice location
3212 County Highway 31
Cherry Valley, NY 13320-3702
Mailing address
PO Box 12
Fort Plain, NY 13339-9998
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 002156 (NY) |
| Mental Health Counselor Primary | 101YM0800X | 012161 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1710654777
Jaclyn Carol Fredriksen, PhD, LMHC, LMFT's National Provider Identifier is 1710654777, issued on Aug 26, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cherry Valley, NY. The record was last updated on Aug 1, 2024.