Individual provider · Type 1 NPI

Courtney Jessica Fredericks

Mental Health Counselor · Mount Vernon, WA

NPI number 1992522593 Active

Practice location

1420 Roosevelt Ave Ste 2
Mount Vernon, WA 98273-2687

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992522593

Courtney Jessica Fredericks's National Provider Identifier is 1992522593, issued on Sep 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Vernon, WA. The record was last updated on Sep 24, 2024.