| Mr William Mark Frederick, MA | |
|
214 Keowee Trl, Clemson, SC 29631-1448 | |
| (864) 367-9023 | |
| Not Available |
| Full Name | Mr William Mark Frederick |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 214 Keowee Trl, Clemson, South Carolina |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851561393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 30357 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 4564 (South Carolina) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr William Mark Frederick, MA 106 Brookstone Way, Central, SC 29630-3604 Ph: (864) 367-9023 | Mr William Mark Frederick, MA 214 Keowee Trl, Clemson, SC 29631-1448 Ph: (864) 367-9023 |
Sarah Elizabeth Russell, MA, LMFT/A, CTP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 144 Thomas Green Blvd, Clemson, SC 29631 Phone: 864-584-8459 | |
Rickell Ballentine, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 735 Mcmillan Road, Clemson, SC 29634 Phone: 864-656-2451 |