Individual provider · Type 1 NPI

Timothy Fredrickson, LCPC

Professional Counselor · Rockford, IL

NPI number 1922073642 Active

Practice location

1639 N Alpine Rd Ste 403
Rockford, IL 61107-1440

Fax (815) 229-7108

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X180-001837 (IL)

Professional Counselor: Definition to come...

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About NPI 1922073642

Timothy Fredrickson, LCPC's National Provider Identifier is 1922073642, issued on Feb 17, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Rockford, IL. The record was last updated on Nov 6, 2023.