Individual provider · Type 1 NPI

Randi Fredricks, PhD

Marriage & Family Therapist · San Jose, CA

NPI number 1679889794 Active

Practice location

1174 Lincoln Ave Ste 6
San Jose, CA 95125-3029

Call (408) 315-0645 Map

Mailing address

PO Box 8252
San Jose, CA 95155-8252

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X47803 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1679889794

Randi Fredricks, PhD's National Provider Identifier is 1679889794, issued on Aug 26, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Jose, CA. The record was last updated on Jul 1, 2011.