MR. FRED MATTHEW FARRAR LPC NCC NPI 1952672594

NPI Information

NPI: 1952672594
Provider Name: MR. FRED MATTHEW FARRAR, LPC , NCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
98 GORDON COMMERCIAL DR
LAGRANGE, GA
ZIP 30240
Phone: (706) 837-0045
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MR. Fred Matthew Farrar, LPC , NCC is a professional counselor in Lagrange, GA. MR. Fred Matthew Farrar, LPC , NCC NPI is 1952672594. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

98 GORDON COMMERCIAL DR
LAGRANGE, GA
ZIP 30240-735
Phone: (706) 837-0045
Fax: (706) 837-0035

The enumeration date for this NPI number is 1/12/2012 and was last updated on 1/12/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	271261	GEORGIA	No
2	101YM0800X	Counselor	Mental Health			No
3	101YP2500X	Counselor	Professional	005914	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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