John Paul Fretheim, LCSW is a
Marriage & Family Therapist based in Petersburg, Virginia. John Paul Fretheim is licensed to practice in Virginia (license number 0904000312) and his current practice location is
510 S Sycamore St, Suite F, Petersburg, Virginia. He can be reached at his office (for appointments etc.) via phone at
(804) 861-0700.
NPI number for John Paul Fretheim is 1629034046 and his current mailing address is 510 S Sycamore St, Suite F, Petersburg, Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629034046.
Healthcare Provider's Profile
| Full Name | John Paul Fretheim |
|---|
| Gender | Male |
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| Speciality | Marriage & Family Therapist |
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| Location | 510 S Sycamore St, Petersburg, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629034046
- Provider Enumeration Date: 04/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for John Paul Fretheim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629034046 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 0904000312 (Virginia) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0904000312 (Virginia) | Primary |
| 101YM0800X | Counselor - Mental Health | 0904000312 (Virginia) | Primary |
| 106H00000X | Marriage & Family Therapist | 0904000312 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Paul Fretheim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Paul Fretheim, LCSW
510 S Sycamore St, Suite F,
Petersburg, VA 23803-5044
Ph: (804) 861-0700 | John Paul Fretheim, LCSW
510 S Sycamore St, Suite F,
Petersburg, VA 23803-5044
Ph: (804) 861-0700 |
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