Tracey Frederiksen, MC - Counselor in Prescott, AZ

Tracey Frederiksen, MC is a Counselor - Mental Health based in Prescott, Arizona. Tracey Frederiksen is licensed to practice in Arizona (license number LAC-11878) and her current practice location is 2228 Lakewood Dr, Prescott, Arizona. She can be reached at her office (for appointments etc.) via phone at (928) 583-2580.

NPI number for Tracey Frederiksen is 1093961708 and her current mailing address is 2228 Lakewood Dr, Prescott, Arizona. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1093961708.

Contact Information

Tracey Frederiksen, MC
2228 Lakewood Dr,
Prescott, AZ 86301-4476
(928) 583-2580
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameTracey Frederiksen
GenderFemale
SpecialityCounselor - Mental Health
Location2228 Lakewood Dr, Prescott, Arizona
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1093961708
  • Provider Enumeration Date: 08/13/2008
  • Last Update Date: 08/13/2008

Medical Identifiers

Medical identifiers for Tracey Frederiksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093961708NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LAC-11878 (Arizona)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tracey Frederiksen is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tracey Frederiksen, MC
2228 Lakewood Dr,
Prescott, AZ 86301-4476

Ph: () -
Tracey Frederiksen, MC
2228 Lakewood Dr,
Prescott, AZ 86301-4476

Ph: (928) 583-2580

Reviews and Comments


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