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Individual

MR. RONALD CRAIG FREDIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LPC, LMFT

Contact information

Practice address
100 SOUTH TYLER ST., SUITE 7A, COVINGTON, LA 70433
(504) 458-0361
Mailing address
PO BOX 752, ABITA SPRINGS, LA 70420-0752
(504) 458-0361

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2414
LA
106H00000X
Marriage & Family Therapist
MFT122
LA

Other

Enumeration date
11/01/2007
Last updated
11/01/2007
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