| Carrie Fredricksen Llc | |
|
830 S 5th St Ste If Cottonwood AZ 86326-4325 | |
| (928) 300-5070 | |
| Not Available |
| Full Name | Carrie Fredricksen Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 830 S 5th St Ste If, Cottonwood, Arizona |
| Authorized Official Name and Position | Carrie Fredrickesen (OWNER) |
| Authorized Official Contact | 9283005070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carrie Fredricksen Llc 2226 W Newton Ln Camp Verde AZ 86322-4939 Ph: () - | Carrie Fredricksen Llc 830 S 5th St Ste If Cottonwood AZ 86326-4325 Ph: (928) 300-5070 |
| NPI Number | 1407675853 |
|---|---|
| Provider Enumeration Date | 10/03/2024 |
| Last Update Date | 10/03/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407675853 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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