Individual
JOSHLYN Q FREDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT1, BSHA/LPC
Contact information
Practice address
985 ROSEHEDGE CT, CONCORD, CA 94521-5453
(925) 435-7008
Mailing address
985 ROSEHEDGE CT, CONCORD, CA 94521-5453
(925) 435-7008
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CPT121521
CA
171WH0202X
Home Modifications Contractor
CPT21521
CA
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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