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James Fredrick, SAC-IT

NPI 1487829446 · on the registry since 2008

Practice

Address: 1626 Clarence Ct
West Bend, WI 53095
Phone: (262) 338-8611
Fax: (262) 338-3367
Organisation at this address: Elevate, Inc.
Genesis Behavioral Services, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: Addiction (Substance Use Disorder) Counselor
101YA0400X
Licence states on file: WI
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin