Individual
MR. FREDERICK KIRK MCDERMOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LPC, MHSP
Contact information
Practice address
13810 HWY 28, SUITE B, WHITWELL, TN 37397
(423) 421-8350
(423) 658-7180
Mailing address
PO BOX 493, WHITWELL, TN 37397-0493
(423) 421-8350
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC0000001984
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5441168
—
TN
Enumeration date
12/28/2006
Last updated
07/08/2007
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