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

Tracey Frederiksen, MC

Individual provider Mental Health Counselor · NPI 1093961708

Tracey Frederiksen, MC is a Mental Health Counselor in Prescott, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

2228 Lakewood Dr
Prescott, AZ 86301-4476
Phone: (928) 583-2580
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LAC-11878 (AZ)

Record details

NPI number1093961708
Entity typeIndividual (Type 1)
GenderFemale
Credentials MC
Sole proprietorYes
NPI enumeratedAugust 13, 2008
Last updated in NPPESAugust 13, 2008
Mailing address2228 Lakewood Dr, Prescott, AZ 86301-4476

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