Individual provider · Type 1 NPI
Mallory Logan Frederick, B.S, C.D.C.A.
Addiction (Substance Use Disorder) Counselor · Reynoldsburg, OH
NPI number
1477917748
Active
Practice location
6434 E Main St, 201
Reynoldsburg, OH 43068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 150835 (OH) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
4 other providers at this address
- Ariel Bocook, LCDCIIAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1124684493
- Brian Gennett, LCDC IIAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1366893760
- Jeffrey Gehring Brehmer, CDCAAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1578074100
- Wyatt Lee Tanner, LSW, LCDC IIISocial Worker Reynoldsburg, OH NPI 1265973150
Other addiction (substance use disorder) counselor providers in Reynoldsburg
- Melissa Dolin, CDCAAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1003648981
- Ariana Vashti Dukes, CDCA PRELIMINARYAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1013735422
- Hanna JurcisinAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1033874367
- Hayley JohnsonAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1083296040
- Kendra EllisAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1114641990
- Courtney KeenAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1114679594
- Ariel Bocook, LCDCIIAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1124684493
- Yvette EllisAddiction (Substance Use Disorder) Counselor Reynoldsburg, OH NPI 1184142598
About NPI 1477917748
Mallory Logan Frederick, B.S, C.D.C.A.'s National Provider Identifier is 1477917748, issued on Apr 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Reynoldsburg, OH. The record was last updated on Mar 29, 2017.