Mr William Mark Frederick, MA | |
214 Keowee Trl, Clemson, SC 29631-1448 | |
(864) 367-9023 | |
Not Available |
Full Name | Mr William Mark Frederick |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 214 Keowee Trl, Clemson, South Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851561393 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC 30357 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 4564 (South Carolina) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr William Mark Frederick, MA 106 Brookstone Way, Central, SC 29630-3604 Ph: (864) 367-9023 | Mr William Mark Frederick, MA 214 Keowee Trl, Clemson, SC 29631-1448 Ph: (864) 367-9023 |
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Sarah Elizabeth Russell, MA, LMFT/A, CTP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 144 Thomas Green Blvd, Clemson, SC 29631 Phone: 864-584-8459 |