Friedeck, John Casey

Friedeck, John Casey is an sole proprietor health care provider with primary practice located at 1760 S Lewis Rd , Camarillo CA 93012-8520. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Friedeck, John Casey can be contacted via phone (805) 383-3669.

Contact Information

Primary practice address
1760 S Lewis Rd Camarillo CA 93012-8520
Phone: (805) 383-3669
Fax: (805) 383-3692
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 111707 California
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1265088694
LBN Legal business name Friedeck, John Casey
Credentials AMFT, APCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 12th, 2019
Last updated Feb 27th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265088694 NPPES
California Other 1578772323 TELECARE CORPORATION

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