| Doctor Name: | MRS. FREDA ANN ADDEO |
| NPI Number: | 1073798997 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CAADAC II |
| License Number: | A8485105 |
| Business Practice Address: | 44374 Palm St Indio, CA - 922013117 |
| Business Phone Number: | 7603426616 |
| Business Fax Number: | 7603478276 |
| Mailing Address: | 44374 Palm St, INDIO |
| State: | CA |
| Postal Code: | 922013117 |
| Phone Number: | 7603426616 |
| Fax Number: | 7603478276 |
| NPI Enumeration Date: | 01/09/2008 |
| NPI Last Update Date: | 01/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | A8485105 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |