Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MALLORY LOGAN FREDERICK, B.S, C.D.C.A.
Active Sole ProprietorMALLORY LOGAN FREDERICK, B.S, C.D.C.A. is a Addiction (Substance Use Disorder) Counselor healthcare provider located in REYNOLDSBURG, Ohio. NPI 1477917748 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · REYNOLDSBURG, OH
Registration Details
- NPI Number
- 1477917748
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 12, 2016 (10.29561208188 yrs)
- Last Updated
- Mar 29, 2017
- License
-
150835 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
6434 E MAIN ST201REYNOLDSBURG, OH, 43068Browse OH providers · Browse ZIP 43068
- Phone
- 6147622847
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in REYNOLDSBURG, OH
| Name | Credential | NPI |
|---|---|---|
| RALPH ANTHONY | — | 1649684440 |
| BRIAN GENNETT | LCDC II | 1366893760 |
| MRS. YVETTE ELLIS | — | 1184142598 |
| MR. JEFFREY GEHRING BREHMER | CDCA | 1578074100 |
| MRS. STEPHANIE LEE DELANEY | CDCA | 1265947378 |
| DEBORAH TURNER | — | 1225544760 |
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.