Gary J Fredericksen in Lacey - Mental Health
Gary J Fredericksen - NPI 1700950557
Gary J Fredericksen is a Mental Health in Lacey, Washington. Gary J Fredericksen practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Gary J Fredericksen is 1700950557. The last update date is 2007-07-20.
Gary J Fredericksen's current location address is 4422 6th Ave Se, Lacey, Washington. You can contact this provider via phone number 3607047170 and fax number 3604124982. The mailing address for Gary J Fredericksen is 4422 6th Ave Se, Lacey, Washington. To know further, please read the information below!
Provider Profile Detail
Provider Name | Gary J Fredericksen |
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Address | 4422 6th Ave Se, Lacey, Washington |
Phone Number | 3607047170 |
Fax Number | 3604124982 |
Sole Proprietor | Y |
Credentials | LICSW |
NPI Number Detail
NPI Number | 1700950557 |
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Provider Enumeration Date | 2006-11-20 |
Last Updated Date | 2007-07-20 |
Provider Mailing Address Detail
Address | 4422 6th Ave Se |
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City | Lacey |
State | Washington (WA) |
Post Code | 985031020 |
Phone Number | 3607047170 |
Fax Number | 3604124982 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | LW00004165 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Post Comment/ Review Below
What is the unique identification code assigned to Gary J Fredericksen by the Centers for Medicare & Medicaid Services?
The Gary J Fredericksen has been issued the NPI (National Provider Identifier) 1700950557. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Gary J Fredericksen's facilities are situated?
The facilities of Gary J Fredericksen are physically located at the following address: 4422 6Th Ave Se, Lacey, WA, 985031020.
What is Gary J Fredericksen's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gary J Fredericksen's area of specialization is Mental Health, and the corresponding taxonomy code that categorizes this field of practice is 101Ym0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1700950557 to Gary J Fredericksen?
The Centers for Medicare & Medicaid Services originally issued the 1700950557 to Gary J Fredericksen on 2006-11-20.
When was the information regarding Gary J Fredericksen most recently updated?
The details pertaining to the Gary J Fredericksen, including its address, specialty, and other relevant information, were last refreshed on 2007-07-20.