Individual
FREDRICK DOUGLAS ABRAHAM II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
Mailing address
1409 KIRKMAN ST, LAKE CHARLES, LA 70601-5344
(337) 419-3586
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
11/08/2017
Last updated
11/08/2017
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