Michael Robert Frederiksen, 101YA0400X
Michael Robert Frederiksen, 101YA0400X is an Addiction (Substance Use Disorder) Counselor in French Camp, California. Licensed in California. Registered with an NPI since 2019.
- Licensed in
- CA
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
500 W Hospital RdFrench Camp, CA 95231-9693
Phone: (209) 468-6857
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|---|
| Community Health Worker | Taxonomy 172V00000X · Licence 10139 (CA) |
Record details
| NPI number | 1609419951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | 101YA0400X |
| Sole proprietor | No |
| NPI enumerated | October 18, 2019 |
| Last updated in NPPES | May 20, 2024 |
| Certification date | May 20, 2024 |
| Mailing address | 1212 N California St, Stockton, CA 95202-1552 |
Other providers in French Camp
-
MS. Maria Fabela
500 W Hospital Rd, French Camp, CA 95231 · (209) 468-6208
-
Susan Facaros
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 468-6857
-
Mrs. Dora Florez
500 W Hospital Rd, French Camp, CA 95231 · (209) 468-6208
-
Tracey Franco
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 757-4354
-
Claudia Fuentes
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 468-6208
-
Vickie Gardner
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 468-6208
-
Kenya Nichole Gaston
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 468-6285
-
Elisa Marie Gomez
500 W Hospital Rd, French Camp, CA 95231-9693 · (209) 468-6013