Search › California › 1041C0700X
Christian Ellis Frederick, LCSW, CCM
NPI 1356658108 · on the registry since 2010
Practice
- Address
- 4715 Viewridge Ave Ste 110
San Diego, CA 92123 - Phone
- (800) 257-8715
- Organisation at this address
- Vericare Behavioral Health Of New Jersey, P.A.
Vericare Behavioral Health Of New Jersey, P.A.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 52
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-08-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California