person
Latonia Nicole Fredrick
Counselor in Conway, South Carolina
NPI 1417980582

Latonia Nicole Fredrick is a Counselor based in Hemingway, SC. Latonia Nicole Fredrick practices in Conway, SC. The NPI Number for Latonia Nicole Fredrick is 1417980582 and holds a License No. (South Carolina).

The current practice location address for Latonia Nicole Fredrick is 164 Waccamaw Medical Park Dr, Conway, SC and can be reached out via phone at 843-347-5060. You can also correspond with Latonia Nicole Fredrick through the mailing address at PO BOX 1702, HEMINGWAY, SC - 29554-1702 (mailing address contact number: 843-558-7189).

Location: 164 Waccamaw Medical Park Dr, Conway, SC, 29554-1702
person
Provider Profile Details
NPI Number
1417980582
Provider Name
Latonia Nicole Fredrick
Credential
Provider Entity Type
Individual
Gender
Female
Address
164 Waccamaw Medical Park Dr, Conway, SC, 29554-1702
Phone Number
843-347-5060
Fax Number
Provider Enumeration Date
07/09/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider Business Mailing Address Details
Address
164 Waccamaw Medical Park Dr
City
State
Zip
29526-8903
Phone Number
843-347-5060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
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.
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