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Individual
SYDNEY FRED
Active
Individual
SYDNEY FRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
81503
TX
101YM0800X
Mental Health Counselor
Primary
81503
TX
104100000X
Social Worker
63696
TX
Other
Enumeration date
05/21/2018
Last updated
06/24/2021
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