Individual provider · Type 1 NPI

Carol Ann Frederick

Mental Health Counselor · Plainville, CT

NPI number 1164628301 Active

Practice location

91 Northwest Drive
Plainville, CT 06062

Call (860) 916-3695 Map

Mailing address

11 Rosedale Rd
West Hartford, CT 06107-2929

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1164628301

Carol Ann Frederick's National Provider Identifier is 1164628301, issued on Jun 25, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Plainville, CT. The record was last updated on Jul 8, 2007.