Most Relevant Information
Provider Data
| NPI Number: | 1003020249 |
| Provider Name: | HEATHER FREDERICK LPC, CAADC, CCS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2007 |
| Last Updated: | 09/09/2024 |
Provider Practice Location
8765 LEWIS AVE
TEMPERANCE
MI
481829583
Practice Location Phone/Fax
| Phone: | 7348473802 |
| Fax: |
Provider Mailing Location
7250 DOUGLAS RD
LAMBERTVILLE
MI
481449488
Provider Mailing Phone/Fax
| Phone: | 7346526782 |
| Fax: |