Individual
ANTHONY FREGOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAODC-I
Contact information
Practice address
1601 2ND ST STE 104, SAN RAFAEL, CA 94901-2701
(415) 545-9444
Mailing address
1601 2ND ST STE 104, SAN RAFAEL, CA 94901-2701
(415) 545-9444
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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