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NPI Code Detail

MEDICARE: JARED FRONDORF LPC

MEDICARE: JARED FRONDORF LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorC.2607811OH

General Provider Information

NPI Number : 1104635093
Entity Type Code : Individual
Provider Name (Legal Business Name) : JARED FRONDORF LPC
Provider Business Mailing Address
First Line : 463 OHIO PIKE STE 102
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-3746
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 463 OHIO PIKE STE 102
Second Line :
City : CINCINNATI
State : OH
Zip : 45255-3746
Country : US
Telephone Number : 512-939-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2025
Last Update Date : 02/18/2026

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Directions to “ JARED FRONDORF LPC” Practice Location

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