Individual
ANDREW SCOTT FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MHR, LPC, CADC
Contact information
Practice address
5933 SE 67TH ST, OKLAHOMA CITY, OK 73135-1739
(405) 474-7098
(855) 834-0431
Mailing address
5933 SE 67TH ST, OKLAHOMA CITY, OK 73135-1739
(405) 474-7098
(855) 834-0431
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7566
OK
Other
Enumeration date
08/19/2013
Last updated
04/11/2024
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