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Fredericka Martin, LPN
Counselor in Anderson, South Carolina
NPI 1982008793

Fredericka Martin is a Counselor based in Charlotte, SC. Fredericka Martin practices in Anderson, SC and has the professional credentials of LPN. The NPI Number for Fredericka Martin is 1982008793 and holds a License No. 47-19724120 (South Carolina).

The current practice location address for Fredericka Martin is 110 Howard Ln, Anderson, SC and can be reached out via phone at 704-777-8504. You can also correspond with Fredericka Martin through the mailing address at 9723 WINGED TRAIL CT, CHARLOTTE, NC - 28277-4695 (mailing address contact number: 704-777-8504).

Location: 110 Howard Ln, Anderson, SC, 28277-4695
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982008793
Provider Name
Fredericka Martin
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
110 Howard Ln, Anderson, SC, 28277-4695
Phone Number
704-777-8504
Fax Number
Provider Enumeration Date
10/22/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
110 Howard Ln
City
Anderson
State
South Carolina
Zip
29621-6817
Phone Number
704-777-8504
Fax Number
person
Provider Business Mailing Address Details
Address
110 Howard Ln
City
Anderson
State
South Carolina
Zip
29621-6817
Phone Number
704-777-8504
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
47-19724120 (South Carolina)
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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