person
Michael Robert Frederiksen, 101YA0400X
Addiction (Substance Use Disorder) Counselor in French Camp, California
NPI 1609419951

Michael Robert Frederiksen is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Michael Robert Frederiksen practices in French Camp, CA and has the professional credentials of 101YA0400X. The NPI Number for Michael Robert Frederiksen is 1609419951 and holds a License No. (California).

The current practice location address for Michael Robert Frederiksen is 500 W Hospital Rd, French Camp, CA and can be reached out via phone at 209-468-6857.

Location: 500 W Hospital Rd, French Camp, CA, 95202-1552
person
Provider Profile Details
NPI Number
1609419951
Provider Name
Michael Robert Frederiksen
Credential
101YA0400X
Provider Entity Type
Individual
Gender
Male
Address
500 W Hospital Rd, French Camp, CA, 95202-1552
Phone Number
209-468-6857
Fax Number
Provider Enumeration Date
10/18/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
500 W Hospital Rd
City
State
Zip
95231-9693
Phone Number
209-468-6857
Fax Number
person
Provider Business Mailing Address Details
Address
500 W Hospital Rd
City
State
Zip
95231-9693
Phone Number
209-468-6857
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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