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MALLORY LOGAN FREDERICK B.S, C.D.C.A.
NPI 1477917748
Counselor - Addiction (Substance Use Disorder) in Reynoldsburg, OH

Active since April 12, 2016
6434 E MAIN ST, 201, REYNOLDSBURG, OH 43068(614) 762-2847 Get Directions Write a Review

NPPES record last updated: March 29, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mallory Logan Frederick B.s, C.d.c.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALLORY LOGAN FREDERICK B.S, C.D.C.A. (NPI 1477917748) is an individual addiction (substance use disorder) provider in Reynoldsburg, Ohio, licensed in Ohio (150835) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1477917748
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMALLORY LOGAN FREDERICKCredential: B.S, C.D.C.A.
Location Address6434 E MAIN ST, 201Reynoldsburg, OH 43068
Mailing Address6434 E Main St, 201Reynoldsburg, OH 43068-7300 · (614) 762-2847
Phone(614) 762-2847
Sole ProprietorYes
Enumeration DateApril 12, 2016
Last NPPES UpdateMarch 29, 2017
✔ NPI 1477917748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · 150835
6434 E MAIN ST, Reynoldsburg, OH 43068
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIAN GENNETT LCDC II
Counselor (Addiction (Substance Use Disorder))
6434 E MAIN ST, 201
REYNOLDSBURG, OH 43068
Franklin County (614) 762-2847
MR. JEFFREY GEHRING BREHMER CDCA
Counselor (Addiction (Substance Use Disorder))
6434 E MAIN ST
REYNOLDSBURG, OH 43068
Franklin County (614) 762-2847
MS. ARIEL BOCOOK LCDCII
Counselor (Addiction (Substance Use Disorder))
6434 E MAIN ST
REYNOLDSBURG, OH 43068
Franklin County (614) 868-2669
MR. WYATT LEE TANNER LSW, LCDC III
Social Worker
6434 E MAIN ST
REYNOLDSBURG, OH 43068
Franklin County (614) 528-4471

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mallory Frederick's NPI number?

The NPI number for Mallory Frederick is 1477917748. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Where is Mallory Frederick located?

Mallory Frederick practices at 6434 E Main St 201, Reynoldsburg, OH 43068. The listed phone number is (614) 762-2847.

What is Mallory Frederick's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mallory Frederick was last updated on March 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.