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

TaxonomyCodeLicense
Counselor Primary 101Y00000X178.013341 (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.