Provider Demographics
NPI:1184282493
Name:HASSLER, FREDERICK SHAUN (LPC-A)
Entity type:Individual
Prefix:MR
First Name:FREDERICK
Middle Name:SHAUN
Last Name:HASSLER
Suffix:
Gender:M
Credentials:LPC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 GARREN CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FAIRVIEW
Mailing Address - State:NC
Mailing Address - Zip Code:28730-7605
Mailing Address - Country:US
Mailing Address - Phone:828-230-1192
Mailing Address - Fax:
Practice Address - Street 1:275 GARREN CREEK RD
Practice Address - Street 2:
Practice Address - City:FAIRVIEW
Practice Address - State:NC
Practice Address - Zip Code:28730-7605
Practice Address - Country:US
Practice Address - Phone:828-230-1192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-01
Last Update Date:2019-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14775101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health