Individual provider · Type 1 NPI

Jenea Ronique Frederick

Mental Health Counselor · Lafayette, LA

NPI number 1164993085 Active

Practice location

2020 W Pinhook Rd
Lafayette, LA 70508-3290

Call (337) 261-8781 Map

Mailing address

816 Lena Dr
Breaux Bridge, LA 70517-6122

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XPLC11307 (LA)

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About NPI 1164993085

Jenea Ronique Frederick's National Provider Identifier is 1164993085, issued on Dec 17, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lafayette, LA. The record was last updated on Aug 3, 2026.