National Provider Identifier
Fredriksen Mental Health Counseling PC
Fredriksen Mental Health Counseling PC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Cherry Valley, NY and a listed phone number of (607) 677-4052.
Source: public NPPES record, last updated October 05, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1396425138
- Provider Type
- Organization
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- July 18, 2023
- Last Updated
- October 05, 2024
Practice Location
- 3212 County Highway 31
- Cherry Valley, NY 13320-3702
Phone: (607) 677-4052
Mailing Address
- PO Box 12
- Fort Plain, NY 13339-9998
Authorized Official
- Name
- Jaclyn Carol Fredriksen
- Title
- Owner/Operator
- Credentials
- PH.D., LMHC, LMFT
- Phone
- (607) 677-4052
Specialties
- Mental Health Counselor (101YM0800X)
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Organization Overview
Fredriksen Mental Health Counseling P.C. is a Cherry Valley/Cooperstown-area mental health counseling practice in New York. The practice says it is owned and operated by Dr. Jaclyn Fredriksen, Ph.D., who is licensed in New York as both a Mental Health Counselor and a Marriage and Family Therapist and is certified in Parent-Child Interaction Therapy. Its official site describes services for children, adolescents, families, PTSD, ADD/ADHD, career counseling, and multiple therapeutic approaches including PCIT, play therapy, CBT, DBT, trauma-focused care, and family systems therapy.
Full Record
- NPI
- 1396425138
- Entity Type
- Organization
- Organization Name
- Fredriksen Mental Health Counseling PC
- Mailing Street Address
- PO Box 12
- Mailing City
- Fort Plain
- Mailing State
- NY
- Mailing ZIP Code
- 13339-9998
- Mailing Country
- US
- Mailing Phone
- (607) 677-4052
- Practice Street Address
- 3212 County Highway 31
- Practice City
- Cherry Valley
- Practice State
- NY
- Practice ZIP Code
- 13320-3702
- Practice Country
- US
- Practice Phone
- (607) 677-4052
- Enumeration Date
- July 18, 2023
- Last Updated
- October 05, 2024
- Authorized Official Last Name
- Fredriksen
- Authorized Official First Name
- Jaclyn
- Authorized Official Middle Name
- Carol
- Authorized Official Title
- Owner/Operator
- Authorized Official Phone
- (607) 677-4052
- Organization Subpart
- No
- Authorized Official Credential Text
- PH.D., LMHC, LMFT
- Taxonomy Group 1
- 193400000X Multiple Single Specialty Group
- Certification Date
- October 05, 2024
- Taxonomies
- Mental Health Counselor (101YM0800X)