Frederiksen, Tracey
Frederiksen, Tracey is an sole proprietor health care provider with primary practice located at 2228 Lakewood Dr , Prescott AZ 86301-4476. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Frederiksen, Tracey can be contacted via phone (928) 583-2580.Contact Information
Primary practice address
2228 Lakewood Dr
Prescott AZ 86301-4476
Phone: (928) 583-2580
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LAC-11878 | Arizona |
Profile Details
| NPI number | 1093961708 |
|---|---|
| LBN Legal business name | Frederiksen, Tracey |
| Credentials | MC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 13th, 2008 |
| Last updated | Aug 13th, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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