Individual
MR. ISAAC JOSEPH FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
310 HARBOR BLVD BLDG E, BELMONT, CA 94002-4018
(650) 802-3351
(650) 591-3043
Mailing address
310 HARBOR BLVD BLDG E, BELMONT, CA 94002-4018
(650) 802-3351
(650) 591-3043
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
OH35778
CA
172V00000X
Community Health Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1411033663
EMPLOYER ID NUMBER
CA
Enumeration date
12/07/2011
Last updated
06/30/2023
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