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TIMOTHY FREDRICKSON, LCPC
LCPC
Professional Counselor
NPI: 1922073642IndividualAccepts Medicare
Specialties, Licenses & Credentials
Professional CounselorPrimary
Counselor — Professional
Code: 101YP2500X
180-001837(IL)
CMS Specialties
PrimaryMENTAL HEALTH COUNSELOR
Education
OTHER
Class of 1991
Contact & Hours
- Address
- 1639 N ALPINE RD STE 403
ROCKFORD, IL 61107 - Phone
- (815) 229-7102
Quick Facts
- NPI
- 1922073642
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 1
- Locations
- 1
- Years in Practice
- 35
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