Alan Fredericksen, M.A., CADC Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Sioux City, IA
- NPI
- 1184035461
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- License number
- 14019 (IA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2014-05-08
- Last updated
- 2014-05-08
Practice location
1221 Pierce St
Sioux City, IA 51105-1418
(712) 255-0204