person
Chad Frederick
Addiction (Substance Use Disorder) Counselor in Ruston, Louisiana
NPI 1417362278

Chad Frederick is an Addiction (Substance Use Disorder) Counselor based in Ruston, LA and is specialized in Addiction (Substance Use Disorder). Chad Frederick practices in Ruston, LA. The NPI Number for Chad Frederick is 1417362278 and holds a License No. 3129 (Louisiana).

The current practice location address for Chad Frederick is 617 S Trenton St, Ruston, LA and can be reached out via phone at 318-251-4659 and via fax at 318-251-4659. You can also correspond with Chad Frederick through the mailing address at 617 S TRENTON ST, RUSTON, LA - 71270-5040 (mailing address contact number: 318-251-4659).

Location: 617 S Trenton St, Ruston, LA, 71270-5040
person
Provider Profile Details
NPI Number
1417362278
Provider Name
Chad Frederick
Credential
Provider Entity Type
Individual
Gender
Male
Address
617 S Trenton St, Ruston, LA, 71270-5040
Phone Number
318-251-4659
Fax Number
318-251-4659
Provider Enumeration Date
06/30/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1345897 05 LA
institution
Provider Business Practice Location Address Details
Address
617 S Trenton St
City
State
Zip
71270-5040
Phone Number
318-251-4659
Fax Number
318-251-4659
person
Provider Business Mailing Address Details
Address
617 S Trenton St
City
State
Zip
71270-5040
Phone Number
318-251-4659
Fax Number
318-251-4659
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
3129 (Louisiana)
Definition
Definition to come...
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