Individual provider · Type 1 NPI

Mathilda Fredrick, LPC

Professional Counselor · Garland, TX

NPI number 1255457727 Active

Practice location

1025 S Jupiter Rd
Garland, TX 75042-7708

Fax (972) 494-2812

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Professional Counselor Primary 101YP2500X16175 (TX)

Professional Counselor: Definition to come...

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About NPI 1255457727

Mathilda Fredrick, LPC's National Provider Identifier is 1255457727, issued on Mar 22, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Garland, TX. The record was last updated on Jul 8, 2007.