| Mrs Kristen Mae Frederico, LPCC | |
|
1825 Commerce Center Blvd, Fairborn, OH 45324-6336 | |
| (937) 879-3400 | |
| Not Available |
| Full Name | Mrs Kristen Mae Frederico |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 1825 Commerce Center Blvd, Fairborn, Ohio |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851040315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2505678 (Ohio) | Primary |
| 101Y00000X | Counselor | C.2305185 (Ohio) | Secondary |
| Entity Name | Midwest Counseling Centers of Ohio |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245838630 PECOS PAC ID: 1759798366 Enrollment ID: O20210326001959 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Kristen Mae Frederico, LPCC 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 Ph: (937) 813-4485 | Mrs Kristen Mae Frederico, LPCC 1825 Commerce Center Blvd, Fairborn, OH 45324-6336 Ph: (937) 879-3400 |
Sonia M Rapp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Main St, Fairborn, OH 45324 Phone: 937-262-3508 Fax: 937-318-8918 |
Bailey R Mcritchie, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 566 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-390-3800 |
Syreeta A Peacock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 E Dayton Yellow Springs Rd, Fairborn, OH 45324 Phone: 937-754-0528 |
Kyla Elswick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 82 W Funderburg Rd, Fairborn, OH 45324 Phone: 937-638-4483 |
Tyshawna Frazer-new, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Laguna Ct Unit 206, Fairborn, OH 45324 Phone: 937-532-8624 |
Jason Keating, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1082 Whitetail Dr, Fairborn, OH 45324 Phone: 614-787-3247 |
Sophia Alridge, BS, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 Phone: 937-701-6631 |