Leerisa Frederick
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 BYukon, OK 73099-7314
Phone: (405) 494-0644
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence 10584 |
|---|
Record details
| NPI number | 1467911412 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 19, 2019 |
| Last updated in NPPES | December 8, 2023 |
| Certification date | December 8, 2023 |
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