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NPI Code Detail

MEDICARE: INGRID NASCIMENTO FREDKIN

MEDICARE: INGRID NASCIMENTO FREDKIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497685622
Entity Type Code : Individual
Provider Name (Legal Business Name) : INGRID NASCIMENTO FREDKIN
Provider Business Mailing Address
First Line : 520 DUDLEY ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-2769
Country : US
Telephone Number : 617-445-6655
Fax Number :
Provider Business Practice Location Address
First Line : 520 DUDLEY ST
Second Line :
City : ROXBURY
State : MA
Zip : 02119-2769
Country : US
Telephone Number : 617-445-6655
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

Similar Medicare Providers

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1093048696 — REBECCA LUVENIA WINFREY MSW
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Directions to “ INGRID NASCIMENTO FREDKIN ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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