Individual provider · Type 1 NPI

Carrell Octavia Frederick, LCMHC

Mental Health Counselor · Concord, NC

NPI number 1780046565 Active

Practice location

301 Medical Park Dr, Ste 202B
Concord, NC 28025-2981

Call (704) 403-2626 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 2608 E 7th St, Ste B, Charlotte, NC 28204-4375 · (704) 403-2626

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X12060 (NC)
Mental Health Counselor Primary 101YM0800X12060 (NC)

Mental Health Counselor: Definition to come...

13 other providers at this address

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About NPI 1780046565

Carrell Octavia Frederick, LCMHC's National Provider Identifier is 1780046565, issued on Mar 22, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Concord, NC. The record was last updated on Jul 15, 2024.