Individual provider · Type 1 NPI
Fredrick Randal Gillum, PSY.D, LPC
Professional Counselor · Houston, TX
NPI number
1932684487
Active
Practice location
2656 S Loop W Ste 250
Houston, TX 77054-5645
Fax (713) 337-2858
Mailing address
4814 Mill Creek Dr
Baytown, TX 77521-4127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 76702 (TX) |
Professional Counselor: Definition to come...
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About NPI 1932684487
Fredrick Randal Gillum, PSY.D, LPC's National Provider Identifier is 1932684487, issued on Oct 1, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Houston, TX. The record was last updated on Apr 3, 2026.