Fred A Gideon, LCSW Valid NPI
Individual provider · Clinical Social Worker · Burney, CA
- NPI
- 1922142769
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 9029 (CA)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2007-02-16
- Last updated
- 2007-07-08
Practice location
37491 Enterprise Dr, A
Burney, CA 96013-4379
(530) 335-2906