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Miss Resa Frederick, MED,NCC,LPC
Counselor in Mantachie, Mississippi
NPI 1376813022

Resa Frederick is a Counselor based in Mantachie, MS. Resa Frederick practices in Mantachie, MS and has the professional credentials of MED,NCC,LPC. The NPI Number for Resa Frederick is 1376813022 and holds a License No. (Mississippi).

The current practice location address for Resa Frederick is 720 Oak Grove Rd, Mantachie, MS and can be reached out via phone at 662-687-5994.

Location: 720 Oak Grove Rd, Mantachie, MS, 38855-8469
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376813022
Provider Name
Resa Frederick
Credential
MED,NCC,LPC
Provider Entity Type
Individual
Gender
Female
Address
720 Oak Grove Rd, Mantachie, MS, 38855-8469
Phone Number
662-687-5994
Fax Number
Provider Enumeration Date
01/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
720 Oak Grove Rd
City
Mantachie
State
Mississippi
Zip
38855-8469
Phone Number
662-687-5994
Fax Number
person
Provider Business Mailing Address Details
Address
720 Oak Grove Rd
City
Mantachie
State
Mississippi
Zip
38855-8469
Phone Number
662-687-5994
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
2052 (Mississippi)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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