Individual provider · Type 1 NPI

Anthony Fregoso, CAODC-I

Addiction (Substance Use Disorder) Counselor · San Rafael, CA

NPI number 1871153536 Active

Practice location

1601 2nd St Ste 104
San Rafael, CA 94901-2701

Call (415) 545-9444 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1871153536

Anthony Fregoso, CAODC-I's National Provider Identifier is 1871153536, issued on Jun 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Rafael, CA. The record was last updated on Jun 15, 2019.