Resa Frederick, M.ED, NCC, LPC

NPI 1376813022 · on the registry since 2012 · sole proprietor

Practice

Address: 720 Oak Grove Rd
Mantachie, MS 38855
Phone: (662) 687-5994
Organisation at this address: Extra Mile Recovery, Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy: Counselor
101Y00000X
Also registered as: Mental Health Counselor
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-11-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi