Organization
RIVERSIDE COUNTY DEPARTMENT OF MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SEAN FREDERIKSEN (CLINICAL THERAPIST I)
(951) 358-3047
Entity
Organization
Contact information
Practice address
4060A COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3453
(951) 358-3047
Mailing address
4060A COUNTY CIRCLE DR, RIVERSIDE, CA 92503-3453
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
06/24/2008
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