Individual
DR. FREDRICK ANTONIA THRASHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, LPC, NCC
Contact information
Practice address
110 EAGLE SPRING DR STE D, STOCKBRIDGE, GA 30281-6488
(678) 565-1400
(866) 945-9685
Mailing address
110 EAGLE SPRING DR STE D, STOCKBRIDGE, GA 30281-6488
(678) 565-1400
(866) 945-9685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
004599
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
858969128A
—
GA
Enumeration date
12/02/2008
Last updated
07/20/2010
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