Johnathan Freeborn
Counselor, Mental Health in Redding, CA. Individual provider (NPI-1).
NPI number1215401005
StatusActive
Last updated in NPPESJan 15, 2019
Details
- NPI
- 1215401005
- Entity type
- Individual (NPI-1)
- Name
- Johnathan Freeborn
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 15, 2019
- Last updated
- Jan 15, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 101Y00000X | Counselor | – | – | |
| 171M00000X | Case Manager/Care Coordinator | – | – |
Practice location
855 Canyon RdRedding, CA 96001-5544
Phone 530-232-1401
Mailing address
855 Canyon RdRedding, CA 96001-5544
Phone 530-232-1401
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 178 Mental Health Counselor providers in Redding · All 4,637 providers in Redding
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