| Kirsten Fredrick, LPCC | |
|
301 Northern Pacific Ave N, Fargo, ND 58102-4835 | |
| (701) 271-3344 | |
| Not Available |
| Full Name | Kirsten Fredrick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 301 Northern Pacific Ave N, Fargo, North Dakota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629862073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 931-1-1-18-570 (North Dakota) | Secondary |
| 101YP2500X | Counselor - Professional | 931-1-1-18-570 (North Dakota) | Primary |
| Entity Name | Family Health Care Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710066352 PECOS PAC ID: 1658283650 Enrollment ID: O20031217000272 |
| Mailing Address | Practice Location Address |
|---|---|
| Kirsten Fredrick, LPCC 701 33rd Ave N Apt 304, Fargo, ND 58102-1056 Ph: (701) 527-4188 | Kirsten Fredrick, LPCC 301 Northern Pacific Ave N, Fargo, ND 58102-4835 Ph: (701) 271-3344 |
Rachel A Blumhardt, Counselor Medicare: Medicare Enrolled Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057 | |
Sarah Klimek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2311 45th St S Ste 4a, Fargo, ND 58104 Phone: 701-532-1477 | |
Aleece Jung, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3401 45th St S, Fargo, ND 58104 Phone: 701-356-4384 Fax: 701-356-4383 | |
Mary Beth Stensgard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3309 Fiechtner Dr S Ste H, Fargo, ND 58103 Phone: 701-261-6539 | |
Deton Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 9th Ave S, Fargo, ND 58103 Phone: 701-298-4500 Fax: 701-298-4400 | |
Kaitlin Doyle, LAPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2701 12th Ave S, Fargo, ND 58103 Phone: 701-451-4900 Fax: 651-925-0057 | |
Lisa Ann Mastel, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1720 University Dr S, Fargo, ND 58103 Phone: 701-461-5308 Fax: 701-461-5649 |