Individual provider · Type 1 NPI

Johnathan Freeborn

Mental Health Counselor · Redding, CA

NPI number 1215401005 Active

Practice location

855 Canyon Rd
Redding, CA 96001-5544

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1215401005

Johnathan Freeborn's National Provider Identifier is 1215401005, issued on Jan 15, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Redding, CA. The record was last updated on Jan 15, 2019.