Alicia Fredericksen, LPC | |
3300 Gallows Rd, Falls Church, VA 22042-3307 | |
(703) 776-6563 | |
Not Available |
Full Name | Alicia Fredericksen |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3300 Gallows Rd, Falls Church, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811568702 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0701008836 (Virginia) | Primary |
Entity Name | Inova Health Care Services |
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Entity Type | Part B Supplier - Hospital Department(s) |
Entity Identifiers | NPI Number: 1952320061 PECOS PAC ID: 2466351093 Enrollment ID: O20110104000935 |
Mailing Address | Practice Location Address |
---|---|
Alicia Fredericksen, LPC 3300 Gallows Road, Kristen Ceranic, Falls Church, VA 22042 Ph: (703) 776-7765 | Alicia Fredericksen, LPC 3300 Gallows Rd, Falls Church, VA 22042-3307 Ph: (703) 776-6563 |
Jessica Macnair, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2762 Marshall St, Falls Church, VA 22042 Phone: 571-335-0423 | |
Mrs. Bendu Elizabeth Jones, BA,CSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 Gallows Rd, Falls Church, VA 22042 Phone: 703-776-7788 Fax: 703-776-7798 | |
Alexandra Rose Dwight, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6565 Arlington Blvd Ste 405, Falls Church, VA 22042 Phone: 703-596-4796 | |
Ms. Ann Rayburn, ANN RAYBURN MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Park Ave, Suite 300, Falls Church, VA 22046 Phone: 703-578-1065 | |
Mary Jean Harford, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Broad St Ste D, Falls Church, VA 22046 Phone: 571-310-2320 | |
Callie Sapen, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Broad St Ste D, Falls Church, VA 22046 Phone: 703-534-5100 | |
Mrs. Amy Clay Stephens, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 E Broad St Ste D, Falls Church, VA 22046 Phone: 703-534-5100 |