Individual provider · Type 1 NPI

Latisha S. Frederick

Addiction (Substance Use Disorder) Counselor · Phillipsburg, NJ

NPI number 1205326758 Active

Practice location

590 Marshall St
Phillipsburg, NJ 08865-2629

Call (908) 387-0003 Map

Fax (908) 387-0005

Mailing address

1037 W Tilghman St
Allentown, PA 18102-2226

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1205326758

Latisha S. Frederick's National Provider Identifier is 1205326758, issued on May 10, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phillipsburg, NJ. The record was last updated on May 10, 2018.