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

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