MR. Fred Matthew Farrar, LPC , NCC

NPI #1952672594 in Lagrange, Georgia

Provider Information

NPI Number: 1952672594
Entity Type: Individual
Name: MR. Fred Matthew Farrar, LPC , NCC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: LPC , NCC
Enumeration Date: Jan 12, 2012
Last Updated: Jan 12, 2012

Practice Location

Address: 98 GORDON COMMERCIAL DR
City: Lagrange
State: Georgia
ZIP Code: 30240-5735
Phone: (706) 837-0045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X
Counselor - Professional — Professional	101YP2500X	Primary

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