MEDICARE: DEAUNA ANDREA FRONEBERGER LCMHC, LCPC, LCAS

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
1	101Y00000X	Counselor	00118460	NC
2	101YM0800X	Mental Health Counselor	15115	NC
3	101YP2500X	Professional Counselor	15115	NC
4	171M00000X	Case Manager/Care Coordinator	00118460	NC
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCAS-20391	NC

General Provider Information

NPI Number	:	1437566742
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEAUNA ANDREA FRONEBERGER LCMHC, LCPC, LCAS

Provider Business Mailing Address
First Line	:	5015 ENGLISH LAUREL CT
Second Line	:
City	:	HUNTERSVILLE
State	:	NC
Zip	:	28078-3906
Country	:	US
Telephone Number	:	888-928-1345
Fax Number	:

Provider Business Practice Location Address
First Line	:	5104 REAGAN DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28206-1396
Country	:	US
Telephone Number	:	888-928-1345
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2014
Last Update Date	:	03/07/2025

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