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Corey Jordan Fredericks
School Counselor in Greensboro, North Carolina
NPI 1205509395

Corey Jordan Fredericks is a School Counselor based in Bronx, NC and is specialized in School. Corey Jordan Fredericks practices in Greensboro, NC. The NPI Number for Corey Jordan Fredericks is 1205509395 and holds a License No. 3344567 (North Carolina).

The current practice location address for Corey Jordan Fredericks is 1601 E Market St, Greensboro, NC and can be reached out via phone at 718-798-1418.

Location: 1601 E Market St, Greensboro, NC, 10467-7019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205509395
Provider Name
Corey Jordan Fredericks
Credential
Provider Entity Type
Individual
Gender
Male
Address
1601 E Market St, Greensboro, NC, 10467-7019
Phone Number
718-798-1418
Fax Number
Provider Enumeration Date
07/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
567DP244 05 NC
institution
Provider Business Practice Location Address Details
Address
1601 E Market St
City
Greensboro
State
North Carolina
Zip
27411-0002
Phone Number
718-798-1418
Fax Number
person
Provider Business Mailing Address Details
Address
1601 E Market St
City
Greensboro
State
North Carolina
Zip
27411-0002
Phone Number
718-798-1418
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
3344567 (North Carolina)
Definition
Definition to come...
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