Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MISS RESA FREDERICK, M.ED, NCC, LPC
Active Sole ProprietorMISS RESA FREDERICK, M.ED, NCC, LPC is a Counselor healthcare provider located in MANTACHIE, Mississippi. NPI 1376813022 is currently active in the NPPES registry. Verify at CMS.
Counselor · MANTACHIE, MS
Registration Details
- NPI Number
- 1376813022
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 11, 2012 (14.586712858669 yrs)
- Last Updated
- Nov 28, 2023
- License
-
2052 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
720 OAK GROVE RDMANTACHIE, MS, 388558469Browse MS providers · Browse ZIP 38855
- Phone
- 6626875994
- Primary Specialty
-
Counselor
101Y00000X
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.