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NPI Code Detail

MEDICARE: ERICA FREDENBURG LPC

MEDICARE:   ERICA  FREDENBURG  LPC
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 CounselorC.2607850OH

General Provider Information

NPI Number : 1518813989
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERICA FREDENBURG LPC
Provider Business Mailing Address
First Line : 320 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44481-1206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 320 E MARKET ST
Second Line :
City : WARREN
State : OH
Zip : 44481-1206
Country : US
Telephone Number : 330-967-4111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “ ERICA FREDENBURG LPC” Practice Location

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