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Individual
FREDERICK MANN
Active
Individual
FREDERICK MANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC, LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
303199
MN
101YM0800X
Mental Health Counselor
CC00743
MN
Other
Enumeration date
09/30/2013
Last updated
05/28/2020
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