Search › California › 167G00000X
Justin Fredericksen, LPN
NPI 1982082400 · on the registry since 2015
Practice
- Address
- 720 Wood St
Eureka, CA 95501 - Phone
- (707) 268-2994
- Organisation at this address
- County Of Humboldt
County Of Humboldt
Humboldt County Mental Health
Humboldt County Behavioral Health
Humboldt County Behavioral HealthInferred from a shared address, not stated in the registry. - Clinicians at this address
- 856
Registry record
- Primary taxonomy
- 167G00000X
167G00000X
- Also registered as
- 164W00000X
- Licence states on file
- NV
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-02
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