Individual
DEBRA FREDERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 CANYON RD, REDDING, CA 96001-5544
(530) 232-1401
Mailing address
855 CANYON RD, REDDING, CA 96001-5544
(530) 232-1401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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