Individual
JOHN PAUL FRETHEIM
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
510 S SYCAMORE ST, SUITE F, PETERSBURG, VA 23803-5044
(804) 861-0700
(804) 863-4626
Mailing address
510 S SYCAMORE ST, SUITE F, PETERSBURG, VA 23803-5044
(804) 861-0700
(804) 863-4626
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0904000312
VA
101YA0400X
Addiction (Substance Use Disorder) Counselor
0904000312
VA
101YM0800X
Mental Health Counselor
0904000312
VA
106H00000X
Marriage & Family Therapist
Primary
0904000312
VA
Other
Enumeration date
04/25/2006
Last updated
09/11/2025
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