| Doctor Name: | JENNIFER ANNE FROLICH |
| NPI Number: | 1316073885 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RAS |
| License Number: | F0702050749 |
| Business Practice Address: | 6840 S Center Dr Clearlake, CA - 954228134 |
| Business Phone Number: | 7079951232 |
| Business Fax Number: | |
| Mailing Address: | 16010 Davis Ave., Po Box 1340 CLEARLAKE |
| State: | CA |
| Postal Code: | 95422 |
| Phone Number: | 7079942291 |
| Fax Number: | |
| NPI Enumeration Date: | 02/26/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | F0702050749 |
| 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: | |