Tracey Frederiksen in Prescott - Mental Health
Tracey Frederiksen - NPI 1093961708
Tracey Frederiksen is a Mental Health in Prescott, Arizona. Tracey Frederiksen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Tracey Frederiksen is 1093961708. The last update date is 2008-08-13.
Tracey Frederiksen's current location address is 2228 Lakewood Dr, Prescott, Arizona. You can contact this provider via phone number 9285832580. The mailing address for Tracey Frederiksen is 2228 Lakewood Dr, Prescott, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tracey Frederiksen |
|---|---|
| Address | 2228 Lakewood Dr, Prescott, Arizona |
| Phone Number | 9285832580 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MC |
NPI Number Detail
| NPI Number | 1093961708 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2008-08-13 |
Provider Mailing Address Detail
| Address | 2228 Lakewood Dr |
|---|---|
| City | Prescott |
| State | Arizona (AZ) |
| Post Code | 863014476 |
| Phone Number | 9285832580 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LAC-11878 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code assigned to Tracey Frederiksen by the Centers for Medicare & Medicaid Services?
The Tracey Frederiksen has been issued the NPI (National Provider Identifier) 1093961708, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Tracey Frederiksen located?
The Tracey Frederiksen is located at 2228 Lakewood Dr, Prescott, AZ 863014476.
What is Tracey Frederiksen's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tracey Frederiksen is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date was the 1093961708 assigned to Tracey Frederiksen?
The Tracey Frederiksen was issued its 1093961708 on 2008-08-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tracey Frederiksen last refreshed?
The information related to the Tracey Frederiksen, including its address, specialty, and other relevant details, was last updated on 2008-08-13.