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NPI 1447721956

NPI 1447721956 : GERALD SCOTT FRALICK LPCC : CORAL SPRINGS, FL

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General NPI Number Information
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    NPI Number           |    1447721956
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    Entity Type          |    Individual 
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    Provider Name        |    GERALD SCOTT FRALICK LPCC
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/10/2018
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    Last Update Date     |    09/15/2025
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Provider Practice Location Address
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    Address Line         |    1725 N UNIVERSITY DR STE 350 
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    City                 |    CORAL SPRINGS
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    State                |    FL
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    Zip                  |    33071-6000
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    Country              |    US
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    Telephone            |    954-227-2700
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    Fax                  |    866-468-0301
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Provider Business Mailing Address
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    Address Line         |    3835 N FREEWAY BLVD STE 100 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95834-1954
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    Country              |    US
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    Telephone            |    916-576-7900
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    Fax                  |    916-277-9380
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    E.2404232
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MH23820
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    License Number State |    FL
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