person
Miss Carrell Octavia Frederick
School Counselor in Charlotte, North Carolina
NPI 1780046565

Carrell Octavia Frederick is a School Counselor based in Charlotte, NC and is specialized in School. Carrell Octavia Frederick practices in Charlotte, NC. The NPI Number for Carrell Octavia Frederick is 1780046565 and holds a License No. A12060 (North Carolina).

The current practice location address for Carrell Octavia Frederick is 3325 Wymering Rd, Charlotte, NC and can be reached out via phone at 704-962-5415. You can also correspond with Carrell Octavia Frederick through the mailing address at 9700 RESEARCH DR, CHARLOTTE, NC - 28262-8552 (mailing address contact number: 704-962-5415).

Location: 3325 Wymering Rd, Charlotte, NC, 28262-8552
person
Provider Profile Details
NPI Number
1780046565
Provider Name
Carrell Octavia Frederick
Credential
Provider Entity Type
Individual
Gender
Female
Address
3325 Wymering Rd, Charlotte, NC, 28262-8552
Phone Number
704-962-5415
Fax Number
Provider Enumeration Date
03/22/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3325 Wymering Rd
City
State
Zip
28213-4891
Phone Number
704-962-5415
Fax Number
person
Provider Business Mailing Address Details
Address
9700 Research Dr
City
State
Zip
28262-8552
Phone Number
704-962-5415
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
1175143 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
License No.
A12060 (North Carolina)
Definition
Definition to come...
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