Corey Jordan Fredericks
School Counselor
1601 E Market St
Greensboro
, North Carolina 27411-0002
Corey Jordan Fredericks
School Counselor
1601 E Market St
Greensboro
, North Carolina 27411-0002
(646) 260-2334
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About
Features
Specialties
- School Counselor
Languages spoken
- English
Location
First Address
- Corey Jordan Fredericks
- 635 Arnow Ave Apt 2c
- Bronx, NY
- Zip : 10467-7019
- Phone : (646) 260-2334
Second Address
- Corey Jordan Fredericks
- 1601 E Market St
- Greensboro, NC
- Zip : 27411-0002
- Phone : (718) 798-1418
Reviews
FAQs
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Is Corey Jordan Fredericks accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YS0200X | School Counselor | 3344567 | NC |
National Provider Identifier
| NPI | 1205509395 |
|---|---|
| Provider Name | Corey Jordan Fredericks |
| First Address | Bronx, NY 10467-7019 |
| Second Address | Greensboro, NC 27411-0002 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/07/2021 |
| Last Update Date | 26/07/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 567DP244 | (05) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.