Individual
ADAM KEITH FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.P.C., L.C.D.C.
Contact information
Practice address
1306 N LOCUST ST, REFLECTIONS COUNSELING, DENTON, TX 76201-6908
(940) 367-9887
Mailing address
3325 GARDENVIEW CIR, DENTON, TX 76207-7552
(940) 390-5301
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
62988
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
9105
TX
101YM0800X
Mental Health Counselor
62988
TX
101YP2500X
Professional Counselor
Primary
62988
TX
Other
Enumeration date
11/09/2010
Last updated
05/30/2013
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