Individual
JOHN FREDERICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
04/29/2007
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5541
(706) 596-5539
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5541
(706) 596-5539
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/23/2014
Last updated
12/23/2014
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