Individual
HEATHER FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAADC, CCS
Contact information
Practice address
7355 LEWIS AVE STE C, TEMPERANCE, MI 48182-1465
(734) 224-3761
Mailing address
7250 DOUGLAS RD, LAMBERTVILLE, MI 48144-9488
(734) 652-6782
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
11/18/2024
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