CHAD FREDERICK

Counselor - Addiction (Substance Use Disorder)

Active Individual
NPI: 1417362278

Practice Address

617 S TRENTON ST
Ruston, LA 71270

Phone: (318) 251-4659

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X Yes 3129 (LA)

Frequently Asked Questions

NPI 1417362278 is the National Provider Identifier for CHAD FREDERICK, a Counselor - Addiction (Substance Use Disorder) provider located in Ruston, LA. This NPI was enumerated on June 30, 2014.
CHAD FREDERICK practices at 617 S TRENTON ST, Ruston, LA 71270.

Quick Facts

NPI
1417362278
Type
Individual
Enumerated
Jun 30, 2014
Last Updated
Jun 30, 2014

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