Individual provider · Type 1 NPI

Jalissa Fredrick

Mental Health Counselor · Cordova, TN

NPI number 1972455327 Active

Practice location

9295 Acadia Pl
Cordova, TN 38018-7151

Call (423) 508-9964 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X7408 (TN)

Mental Health Counselor: Definition to come...

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About NPI 1972455327

Jalissa Fredrick's National Provider Identifier is 1972455327, issued on Feb 10, 2026. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cordova, TN. The record was last updated on Feb 10, 2026.