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Provider Information for 1295776334


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JUDITH L FRENDO M.F.T.


Sex: Female

NPI: 1295776334
Last Updated: 2024-09-12
Certification Date: 2024-09-12

Details

NameValue
NPI1295776334
Enumeration Date2006-06-09
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 419 MASON ST STE 206B
VACAVILLE, CA 95688-4535
United States

Phone: 707-365-2831 | Fax:
 
Primary Practice Address 419 MASON ST STE 206B
VACAVILLE, CA 95688-4535
United States

Phone: 707-365-2831 | Fax:
 
Secondary Practice Address(es)

918 MERCHANT ST
VACAVILLE, CA 95688-5316
United States

Phone: 707-398-6339 | Fax:
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CAMFC24909