Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Leerisa Frederick

Individual provider Counselor · NPI 1467911412

Leerisa Frederick is a Counselor in Yukon, Oklahoma. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

416 S Mustang Rd Ste B
Yukon, OK 73099-7314
Phone: (405) 494-0644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 10584

Record details

NPI number1467911412
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 19, 2019
Last updated in NPPESDecember 8, 2023
Certification dateDecember 8, 2023
Mailing address416 S Mustang Rd Ste B, Yukon, OK 73099-7314

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