person
Mallory Logan Frederick, BS,CDCA
Addiction (Substance Use Disorder) Counselor in Reynoldsburg, Ohio
NPI 1477917748

Mallory Logan Frederick is an Addiction (Substance Use Disorder) Counselor based in Reynoldsburg, OH and is specialized in Addiction (Substance Use Disorder). Mallory Logan Frederick practices in Reynoldsburg, OH and has the professional credentials of BS,CDCA. The NPI Number for Mallory Logan Frederick is 1477917748 and holds a License No. 150835 (Ohio).

The current practice location address for Mallory Logan Frederick is 6434 E Main St, Reynoldsburg, OH and can be reached out via phone at 614-762-2847.

Location: 6434 E Main St, Reynoldsburg, OH, 43068-7300
person
Provider Profile Details
NPI Number
1477917748
Provider Name
Mallory Logan Frederick
Credential
BS,CDCA
Provider Entity Type
Individual
Gender
Female
Address
6434 E Main St, Reynoldsburg, OH, 43068-7300
Phone Number
614-762-2847
Fax Number
Provider Enumeration Date
04/12/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6434 E Main St
City
State
Zip
43068
Phone Number
614-762-2847
Fax Number
person
Provider Business Mailing Address Details
Address
6434 E Main St
City
State
Zip
43068
Phone Number
614-762-2847
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
150835 (Ohio)
Definition
Definition to come...
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