Farrar, Fred Matthew
Farrar, Fred Matthew is an sole proprietor health care provider with primary practice located at 98 Gordon Commercial Dr , Lagrange GA 30240-5735. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Farrar, Fred Matthew can be contacted via phone (706) 837-0045.Contact Information
Primary practice address
98 Gordon Commercial Dr
Lagrange GA 30240-5735
Phone: (706) 837-0045
Fax: (706) 837-0035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 271261 | Georgia |
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | ||
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 005914 | Georgia |
Profile Details
| NPI number | 1952672594 |
|---|---|
| LBN Legal business name | Farrar, Fred Matthew |
| Credentials | LPC , NCC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 12th, 2012 |
| Last updated | Jan 12th, 2012 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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