Provider Demographics
NPI:1225452659
Name:FELLOWS, FRANK CARROLL III (LCMFT)
Entity Type:Individual
Prefix:MR
First Name:FRANK
Middle Name:CARROLL
Last Name:FELLOWS
Suffix:III
Gender:M
Credentials:LCMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7300 CALHOUN PL SUITE 600
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850
Mailing Address - Country:US
Mailing Address - Phone:240-777-1429
Mailing Address - Fax:240-777-4447
Practice Address - Street 1:7300 CALHOUN PL STE 600
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-3701
Practice Address - Country:US
Practice Address - Phone:240-777-1429
Practice Address - Fax:240-777-4447
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-05
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCM059106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist