National Provider Identifier
Jaclyn Carol Fredriksen, PH.D., LMHC, LMFT
Jaclyn Carol Fredriksen, PH.D., LMHC, LMFT 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 August 01, 2024. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1710654777
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- August 26, 2021
- Last Updated
- August 01, 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
Specialties
- Mental Health Counselor (101YM0800X)
Browse Similar Providers
See more providers in the Counselor classification in Cherry Valley, NY.
Open Counselor providers in Cherry Valley, NY
Open the exact Mental Health specialty directory in Cherry Valley, NY
Biography
Jaclyn Fredriksen, Ph.D., LMHC, LMFT, is a Cherry Valley, New York-based mental health clinician with credentials in both mental health counseling and marriage and family therapy.
Full Record
- NPI
- 1710654777
- Entity Type
- Individual
- Last Name
- Fredriksen
- First Name
- Jaclyn
- Middle Name
- Carol
- Credential
- PH.D., LMHC, LMFT
- 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
- August 26, 2021
- Last Updated
- August 01, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- July 30, 2024
- Taxonomies
- Mental Health Counselor (101YM0800X)