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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

CINDY M FREDERICKSON, MA, LMHC, CDP
1106 COLUMBIA AVE
MARYSVILLE, WA98270-4335
 Phone: 360-653-0374
 Fax: 360-658-0219
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for CINDY M FREDERICKSON · (Female)

NPI # 1003018839
Status Active
Credentials MA, LMHC, CDP
Entity Individual
Enumeration date 06/04/2007
Last updated 05/16/2012 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • WA License # RC00051356
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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