Individual provider · Type 1 NPI

John Frederick Jr., 04/29/2007

Mental Health Counselor · Columbus, GA

NPI number 1285022400 Active

Practice location

2100 Comer Ave
Columbus, GA 31904-8725

Call (706) 596-5541 Map

Fax (706) 596-5539

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285022400

John Frederick Jr., 04/29/2007's National Provider Identifier is 1285022400, issued on Dec 23, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbus, GA. The record was last updated on Dec 23, 2014.