Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD FREDERICK
ActiveAddiction (Substance Use Disorder) Counselor · RUSTON, LA
Registration Details
- NPI Number
- 1417362278
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 30, 2014 (11.81167061282 yrs)
- Last Updated
- Jun 30, 2014
- License
-
3129 (LA)
Practice Information
- Address
-
617 S TRENTON STRUSTON, LA, 712705040Browse LA providers · Browse ZIP 71270
- Phone
- 3182514659
- Fax
- 3182514659
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in RUSTON, LA
| Name | Credential | NPI |
|---|---|---|
| MRS. ELISE HESTER REED | LCSW | 1467540484 |
| MR. WELTON MIGUEL WILEY | LAC, CCS | 1154469559 |
| SHARON L. CHANDLER | LAC,CCGC,CCDP | 1043591910 |
| HAYLEA EWING | — | 1902276280 |
| DR. STACY BERNARD SANDERS | PHD, LAC | 1053784728 |
| TAYLOR PRICE | — | 1508393992 |
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.