Fredrick Douglas Abraham II
Counselor, Mental Health in Lake Charles, LA. Individual provider (NPI-1).
NPI number1104339589
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1104339589
- Entity type
- Individual (NPI-1)
- Name
- Fredrick Douglas Abraham II
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 8, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
1409 Kirkman StLake Charles, LA 70601-5344
Phone 337-419-3586
Mailing address
1409 Kirkman StLake Charles, LA 70601-5344
Phone 337-419-3586
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