DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. FREDRICK GILLAM JR., LPC-MHSP

Active Sole Proprietor

MR. FREDRICK GILLAM JR., LPC-MHSP is a Professional Counselor healthcare provider located in CORDOVA, Tennessee. NPI 1922512441 is currently active in the NPPES registry. Verify at CMS.

Professional Counselor · CORDOVA, TN

Registration Details

NPI Number
1922512441
Provider Type
Individual
Gender
Male
NPI Issued
Nov 20, 2017 (8.7145009643144 yrs)
Last Updated
Nov 20, 2017
License
0000003668 (TN)
Sole Proprietor
Yes

Practice Information

Address
815 EXOCET DR STE 107
CORDOVA, TN, 380182257
Browse TN providers · Browse ZIP 38018
Phone
9012302409
Primary Specialty
Professional Counselor
101YP2500X

Other Professional Counselor Providers in CORDOVA, TN

Name Credential NPI
MARTHA ANDERSON LPC 1609915925
GAIL MULLEN 1598804551
MRS. KIMBERLY LYNN REDD LPC-MHSP 1215052881
MS. KATHERINE MCLEAN WILSON LPC-MHSP 1598939654
SEPTURI UHURUBEY AFPA 1780859678
MS. JANET LEE FERRELL LPC 1487806683
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.