Individual
BARRETT FADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1065 E MAIN ST, VENTURA, CA 93001-3027
(805) 652-0029
Mailing address
1065 E MAIN ST, VENTURA, CA 93001-3027
(805) 232-8635
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
04/25/2025
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