Individual
MR. MICHAEL FREDRIC THADEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LM.F.T., A.T.R., CHT
Contact information
Practice address
3550 WATT AVE, SUITE 190, SACRAMENTO, CA 95821-2667
(916) 505-5092
Mailing address
PO BOX 164, ORANGEVALE, CA 95662-0164
(916) 505-5092
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MFC34167
CA
Other
Enumeration date
01/18/2007
Last updated
05/14/2013
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