Individual provider · Type 1 NPI

Candice Stone Frederick, MED.

Mental Health Counselor · Tullahoma, TN

NPI number 1184090243 Active

Practice location

709 Davidson St
Tullahoma, TN 37388-3607

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1184090243

Candice Stone Frederick, MED.'s National Provider Identifier is 1184090243, issued on Aug 12, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tullahoma, TN. The record was last updated on Aug 12, 2015.