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Frederick S Stanley III
Peer Specialist in Santa Cruz, California
NPI 1154183341

Frederick S Stanley III is a Peer Specialist based in Santa Cruz, CA. Frederick S Stanley III practices in Santa Cruz, CA. The NPI Number for Frederick S Stanley III is 1154183341 and holds a License No. MPSS-WFIUCD (California).

The current practice location address for Frederick S Stanley III is 200 7Th Ave Ste 150, Santa Cruz, CA and can be reached out via phone at 831-462-1060.

Location: 200 7Th Ave Ste 150, Santa Cruz, CA, 95062-4669
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154183341
Provider Name
Frederick S Stanley III
Credential
Provider Entity Type
Individual
Gender
Male
Address
200 7Th Ave Ste 150, Santa Cruz, CA, 95062-4669
Phone Number
831-462-1060
Fax Number
Provider Enumeration Date
01/24/2024
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
200 7Th Ave Ste 150
City
Santa Cruz
State
California
Zip
95062-4669
Phone Number
831-462-1060
Fax Number
person
Provider Business Mailing Address Details
Address
200 7Th Ave Ste 150
City
Santa Cruz
State
California
Zip
95062-4669
Phone Number
831-462-1060
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-WFIUCD (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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