Individual
FREDRIC DARNELL BLOCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
110 HABERSHAM DR, STE 116, FAYETTEVILLE, GA 30214-1381
(770) 946-2312
Mailing address
110 HABERSHAM DR, STE 116, FAYETTEVILLE, GA 30214-1381
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007643
GA
Other
Enumeration date
09/04/2014
Last updated
09/04/2014
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