ANTHONY FREGOSO

SAN RAFAEL, CA
NPI1871153536
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-06-15
Last Update Date2019-06-15
Business Address
ANTHONY FREGOSO caodc-i
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-545-9444
Mailing Address
ANTHONY FREGOSO caodc-i
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-545-9444