Individual provider · Type 1 NPI

Shaneska Frederique

Mental Health Counselor · Costa Mesa, CA

NPI number 1013475649 Active

Practice location

275 Baker St
Costa Mesa, CA 92626-4566

Call (714) 361-6760 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1013475649

Shaneska Frederique's National Provider Identifier is 1013475649, issued on Mar 2, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Costa Mesa, CA. The record was last updated on Dec 22, 2020.