| Doctor Name: | CINDY MARIE FREDERICKSON |
| NPI Number: | 1003018839 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHC, CDP |
| License Number: | RC00051356 |
| Business Practice Address: | 1106 Columbia Ave Marysville, WA - 982704335 |
| Business Phone Number: | 3606530374 |
| Business Fax Number: | 3606580219 |
| Mailing Address: | 14031 Highway 9, SNOHOMISH |
| State: | WA |
| Postal Code: | 982968721 |
| Phone Number: | 4253084011 |
| Fax Number: | 4252589320 |
| NPI Enumeration Date: | 06/04/2007 |
| NPI Last Update Date: | 05/16/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00051356 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |