Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Fredrick Gillam Jr., LPC-MHSP

Individual provider Professional Counselor · NPI 1922512441

Mr. Fredrick Gillam Jr., LPC-MHSP is a Professional Counselor in Cordova, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2017
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Practice location Address checks out

815 Exocet Dr Ste 107
Cordova, TN 38018-2257
Phone: (901) 230-2409
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 0000003668 (TN)

Record details

NPI number1922512441
Entity typeIndividual (Type 1)
GenderMale
Credentials LPC-MHSP
Sole proprietorYes
NPI enumeratedNovember 20, 2017
Last updated in NPPESNovember 20, 2017

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