Provider Demographics
NPI:1275995110
Name:CLARIN, FREDRICK (INTERN)
Entity Type:Individual
Prefix:
First Name:FREDRICK
Middle Name:
Last Name:CLARIN
Suffix:
Gender:M
Credentials:INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3039 ALEXANDRITE DR
Mailing Address - Street 2:
Mailing Address - City:RESCUE
Mailing Address - State:CA
Mailing Address - Zip Code:95672-9321
Mailing Address - Country:US
Mailing Address - Phone:530-903-1935
Mailing Address - Fax:
Practice Address - Street 1:3039 ALEXANDRITE DR
Practice Address - Street 2:
Practice Address - City:RESCUE
Practice Address - State:CA
Practice Address - Zip Code:95672-9321
Practice Address - Country:US
Practice Address - Phone:530-903-1935
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-21
Last Update Date:2016-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)