Doctor Name: | ADAM KEITH FREDERICK |
NPI Number: | 1659672434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.P.C., L.C.D.C. |
License Number: | 62988 |
Business Practice Address: | 1306 N Locust St Reflections Counseling Denton, TX - 762016908 |
Business Phone Number: | 9403679887 |
Business Fax Number: | |
Mailing Address: | 3325 Gardenview Cir, DENTON |
State: | TX |
Postal Code: | 762077552 |
Phone Number: | 9403905301 |
Fax Number: | |
NPI Enumeration Date: | 11/09/2010 |
NPI Last Update Date: | 05/30/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 62988 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |