Lissette D Frederick, LPC | |
5995 Iris Pkwy, Frederick, CO 80504-6412 | |
(303) 697-2583 | |
(303) 833-6515 |
Full Name | Lissette D Frederick |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5995 Iris Pkwy, Frederick, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316712151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0019840 (Colorado) | Primary |
Entity Name | Salud Family Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275530388 PECOS PAC ID: 3173433398 Enrollment ID: O20031126000756 |
Mailing Address | Practice Location Address |
---|---|
Lissette D Frederick, LPC 203 S Rollie Ave, Fort Lupton, CO 80621-1508 Ph: (303) 892-6401 | Lissette D Frederick, LPC 5995 Iris Pkwy, Frederick, CO 80504-6412 Ph: (303) 697-2583 |
Ms. Jacquelyn Patricia Harris, MA,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 616, Frederick, CO 80530 Phone: 720-314-8444 | |
Erin Daugherty, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5206 13th St, Frederick, CO 80504 Phone: 539-252-1298 | |
Nicole Lynn Simpson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5479 Shoshone Dr, Frederick, CO 80504 Phone: 720-340-2367 | |
Mrs. Kristina L Coonce, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7403 Farmdale St, Frederick, CO 80530 Phone: 920-420-5575 | |
Luis Felipe Diaz, RP Counselor Medicare: Medicare Enrolled Practice Location: 5995 Iris Pkwy, Frederick, CO 80504 Phone: 303-697-2583 | |
Patricia Ann Carlson, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5476 Caribou Dr, Frederick, CO 80504 Phone: 720-753-7996 |