TIMOTHY FREDRICKSON

ROCKFORD, IL
NPI1922073642
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor Professional
(Licence: IL  180-001837)
Enumeration Date2006-02-17
Last Update Date2023-11-06
Business Address
MR. TIMOTHY FREDRICKSON LCPC
1639 N ALPINE RD STE 403
ROCKFORD, IL 61107-1440
Phone number: 815-229-7102
Mailing Address
MR. TIMOTHY FREDRICKSON LCPC
1639 N ALPINE RD STE 403
ROCKFORD, IL 61107-1440
Phone number: 815-229-7102
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