NPI

Resa Frederick

NPI 1376813022

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Credential
M.Ed, NCC, LPC
Type
Individual
Enumeration date
2012-01-11
Last updated
2023-11-28

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Specialties

Licenses

License MS
2052

Location

Practice location
720 Oak Grove Rd
City
Mantachie MS
Postal code
38855-8469
Phone
(662) 687-5994

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Mantachie, MS. 44 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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