Fred Itveldt Psychiatric ARNP, CARN-AP is a private psychiatric practice in Spokane Valley, Washington, offering mental health care with a focus on medication management. The practice provides ketamine therapy and also offers Brixadi and semaglutide. Led by a sole practitioner with more than 30 years of experience, the practice draws on a background that includes forensics, mental health clinics, acute inpatient care, psychiatric emergency services, addictions, group homes, and telepsychiatry. The practice serves patients age 17 and older.