Individual provider · Type 1 NPI
Madissyn Nicole Fredericks
Counselor · Chicago, IL
NPI number
1902394422
Active
Practice location
300 W Adams St Ste 514
Chicago, IL 60606-5108
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 178.013341 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1902394422
Madissyn Nicole Fredericks's National Provider Identifier is 1902394422, issued on Apr 30, 2018. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Chicago, IL. The record was last updated on Apr 30, 2018.