Individual provider · Type 1 NPI

Fredrick Gillam Jr., LPC-MHSP

Professional Counselor · Cordova, TN

NPI number 1922512441 Active

Practice location

815 Exocet Dr Ste 107
Cordova, TN 38018-2257

Call (901) 230-2409 Map

Mailing address

PO Box 2911
Cordova, TN 38088-2911

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X0000003668 (TN)

Professional Counselor: Definition to come...

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About NPI 1922512441

Fredrick Gillam Jr., LPC-MHSP's National Provider Identifier is 1922512441, issued on Nov 20, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cordova, TN. The record was last updated on Nov 20, 2017.