person
Carrell Octavia Frederick, LCMHC
Mental Health Counselor in Concord, North Carolina
NPI 1780046565

Carrell Octavia Frederick is a Mental Health Counselor based in Charlotte, NC and is specialized in Mental Health. Carrell Octavia Frederick practices in Concord, NC and has the professional credentials of LCMHC. The NPI Number for Carrell Octavia Frederick is 1780046565 and holds a License No. 12060 (North Carolina).

The current practice location address for Carrell Octavia Frederick is 301 Medical Park Dr, Concord, NC and can be reached out via phone at 704-403-2626.

Location: 301 Medical Park Dr, Concord, NC, 28219-9305
person
Provider Profile Details
NPI Number
1780046565
Provider Name
Carrell Octavia Frederick
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
301 Medical Park Dr, Concord, NC, 28219-9305
Phone Number
704-403-2626
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
301 Medical Park Dr
City
State
Zip
28025-2981
Phone Number
704-403-2626
Fax Number
person
Provider Business Mailing Address Details
Address
301 Medical Park Dr
City
State
Zip
28025-2981
Phone Number
704-403-2626
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
12060 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
12060 (North Carolina)
Definition
Definition to come...
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