Lawanda Frederick, LPCA

NPI #1861259269 in Sandy Hook, Connecticut

Provider Information

NPI Number: 1861259269
Entity Type: Individual
Name: Lawanda Frederick, LPCA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPCA
Enumeration Date: Mar 1, 2024
Last Updated: Mar 1, 2024

Practice Location

Address: 107 CHURCH HILL RD STE 1A
City: Sandy Hook
State: Connecticut
ZIP Code: 06482-1194
Phone: (475) 323-2200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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