MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) – Addiction (Substance Use Disorder) Counselor, NPI 1477917748

MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) is a healthcare provider. based in Reynoldsburg, Ohio. specializing in Addiction (Substance Use Disorder) Counselor. They hold the professional credentials B.S, C.D.C.A.. They hold a License No. 150835 (OH). The NPI Number for MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) is 1477917748

Main info

Female
Sole Proprietor
Name
MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)
NPI
1477917748
Phone
(614) 762-2847
Address
6434 E MAIN ST
Enumeration Date
12 April 2016
Last Update Date
29 March 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:10State licenses:1Digital endpointsOther names

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Provider Addresses for MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)

  • 6434, East Main Street, Rose Hill Heights, Reynoldsburg, Truro Township, Ohio, 43068, United States

    201

    REYNOLDSBURG, OH 430687300

    Phone: (614) 762-2847

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 43068)

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Frequently asked questions

Can I cross-check MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) using NPI 1477917748?
NPI 1477917748 belongs to MALLORY LOGAN FREDERICK (B.S, C.D.C.A.); compare other details if you need extra assurance.
Active or inactive — what applies to MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)?
You should see MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) as active in CMS-hosted NPPES data.
What expertise is attributed to MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)?
MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)'s specialty line reads Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with MALLORY LOGAN FREDERICK (B.S, C.D.C.A.)?
Directory geography for MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) centers on Reynoldsburg, Ohio.
When was this NPI issued?
Enumeration for MALLORY LOGAN FREDERICK (B.S, C.D.C.A.) is noted as April 12, 2016 where the registry provides it.