Fredrick Douglas Abraham II
Individual provider Active NPI Mental Health Counselor · Lake Charles, LA
NPI 1104339589 · NPPES record last updated Nov 8, 2017
Key facts
- NPI
- 1104339589
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1409 Kirkman St
Lake Charles, LA 70601-5344 - Phone
- (337) 419-3586
- NPI assigned
- Nov 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | Yes |
Addresses
Primary practice location
1409 Kirkman St
Lake Charles, LA 70601-5344
Mailing address
1409 Kirkman St
Lake Charles, LA 70601-5344
Phone (337) 419-3586
Other providers in Lake Charles, LA
- Ahmad Hikmat Aboudan
- Above and Beyond Home Care
- Above and Beyond Home Care
- Above and Beyond Home Care
- Crystal Abraham
- Latasha Monique Abraham
- Shantele Abraham
- Cody Michael Abshire
- Jude Paul Abshire
- Laryn B Abshire
All providers in Lake Charles, LA · Mental Health Counselor in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.