Frederick, Gabriel David
Frederick, Gabriel David is an sole proprietor health care provider with primary practice located at 698 N Marietta Pkwy Ne , Marietta GA 30060-1585. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Frederick, Gabriel David can be contacted via phone (770) 919-9088.Contact Information
Primary practice address
698 N Marietta Pkwy Ne
Marietta GA 30060-1585
Phone: (770) 919-9088
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | MFT001190 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC006828 | Georgia |
Profile Details
| NPI number | 1366724734 |
|---|---|
| LBN Legal business name | Frederick, Gabriel David |
| Credentials | LMFT, LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2011 |
| Last updated | Jul 29th, 2012 - about 13 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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