| Mallory Logan Frederick, BS, CDCA | |
|
6434 E Main St, 201, Reynoldsburg, OH 43068 | |
| (614) 762-2847 | |
| Not Available |
| Full Name | Mallory Logan Frederick |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 6434 E Main St, Reynoldsburg, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477917748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 150835 (Ohio) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mallory Logan Frederick, BS, CDCA 6434 E Main St, 201, Reynoldsburg, OH 43068-7300 Ph: (614) 762-2847 | Mallory Logan Frederick, BS, CDCA 6434 E Main St, 201, Reynoldsburg, OH 43068 Ph: (614) 762-2847 |
Melissa Dolin, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1900 Brice Rd Ste B, Reynoldsburg, OH 43068 Phone: 614-239-9965 | |
Ariana Vashti Dukes, CDCA PRELIMINARY Counselor Medicare: Not Enrolled in Medicare Practice Location: 3145 Dewbourne Dr, Reynoldsburg, OH 43068 Phone: 614-556-6818 | |
Lalita Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Hanna Jurcisin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Michelle Halderman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 | |
Tina Fox, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7610 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-626-2696 | |
Gail Ukockis, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1649 Brice Rd Ste C, Reynoldsburg, OH 43068 Phone: 614-300-5878 |