Jeanette Frutos

Individual provider Active NPI Mental Health Counselor · Ventura, CA

NPI 1013348911 · NPPES record last updated Dec 3, 2013

Key facts

NPI
1013348911
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1838 Eastman Ave
Suite 100
Ventura, CA 93003-6496
Phone
(805) 289-0120
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1838 Eastman Ave
Suite 100
Ventura, CA 93003-6496

Mailing address

1838 Eastman Ave
Suite 100
Ventura, CA 93003-6496
Phone (805) 289-0120

Other providers in Ventura, CA

All providers in Ventura, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.