Mr Fredrick Gillam Jr, LPC-MHSP - Counselor in Cordova, TN

Mr Fredrick Gillam Jr, LPC-MHSP is a Counselor - Professional based in Cordova, Tennessee. Mr Fredrick Gillam Jr is licensed to practice in Tennessee (license number 0000003668) and his current practice location is 815 Exocet Dr Ste 107, Cordova, Tennessee. He can be reached at his office (for appointments etc.) via phone at (901) 230-2409.

NPI number for Mr Fredrick Gillam Jr is 1922512441 and his current mailing address is Po Box 2911, Cordova, Tennessee. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922512441.

Contact Information

Mr Fredrick Gillam Jr, LPC-MHSP
815 Exocet Dr Ste 107,
Cordova, TN 38018-2257
(901) 230-2409
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr Fredrick Gillam Jr
GenderMale
SpecialityCounselor - Professional
Location815 Exocet Dr Ste 107, Cordova, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1922512441
  • Provider Enumeration Date: 11/20/2017
  • Last Update Date: 11/20/2017

Medical Identifiers

Medical identifiers for Mr Fredrick Gillam Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922512441NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional 0000003668 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Fredrick Gillam Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Fredrick Gillam Jr, LPC-MHSP
Po Box 2911,
Cordova, TN 38088-2911

Ph: (901) 230-2409
Mr Fredrick Gillam Jr, LPC-MHSP
815 Exocet Dr Ste 107,
Cordova, TN 38018-2257

Ph: (901) 230-2409

Reviews and Comments


Counselor in Cordova, TN

Mr. Christoper Maurice Lyle, LADAC II
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Tiffany Thomas, MS
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Phone: 901-567-3554    
Dr. Chris Allen Gibson, M.S., D. MIN., LPC
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Practice Location: 9299 Rocky Woods Dr, Cordova, TN 38018
Phone: 601-668-5331    
Mrs. Sandra L Garbuzinski, LPC-MHSP
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Medicare: Not Enrolled in Medicare
Practice Location: 8130 Country Village Dr, Suite 102, Cordova, TN 38016
Phone: 901-308-2915    Fax: 901-308-2924
Amy Power, LPC
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Medicare: Not Enrolled in Medicare
Practice Location: 671 N Ericson Rd, Cordova, TN 38018
Phone: 855-806-3221    

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