Mrs. Brooke Leigh Fredrickson, LRD, CSG
Mrs. Brooke Leigh Fredrickson, LRD, CSG is a Registered Dietitian OR Nutrition Professional in Cooperstown, North Dakota. Qualified in 2005, 21 years ago. Practices with Valley Christian Counseling Center Inc, a 19-clinician group. Licensed in North Dakota.
- Years since qualifying
- 21
- Licensed in
- ND
- In the registry since
- 2009
Practice location Address checks out
1200 Roberts Ave NECooperstown, ND 58425-7101
Phone: (701) 797-2221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Dietitian (primary) | Taxonomy 133V00000X · Licence 669 (ND) |
|---|
Record details
| NPI number | 1053645317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LRD , CSG |
| Sole proprietor | No |
| NPI enumerated | September 18, 2009 |
| Last updated in NPPES | September 18, 2009 |
Medicare enrollment
| Medicare specialty | REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Valley Christian Counseling Center Inc — 19 clinicians |
| Accepts Medicare assignment | Not indicated |