JACQUELINE MICHELLE FRUTTERO
NPI 1366638132
Counselor - Mental Health in Mount Shasta, CA

Active since September 14, 2007
1107 REAM AVE, MOUNT SHASTA, CA 96067(530) 926-1436(530) 926-2305 Get Directions Write a Review

NPPES record last updated: March 13, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jacqueline Michelle Fruttero NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACQUELINE MICHELLE FRUTTERO (NPI 1366638132) is an individual mental health provider in Mount Shasta, California and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1366638132
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE MICHELLE FRUTTERO
Location Address1107 REAM AVEMount Shasta, CA 96067-9768
Mailing Address1107 Ream AveMount Shasta, CA 96067-9768 · (530) 926-1436 · Fax (530) 926-2305
Fax(530) 926-2305
Sole ProprietorNo
Enumeration DateSeptember 14, 2007
Last NPPES UpdateMarch 13, 2008
NPI 1366638132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1107 REAM AVE, Mount Shasta, CA 96067

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Rehabilitation Practitioner
1107 REAM AVE
MOUNT SHASTA, CA 96067
Counselor (Mental Health)
1107 REAM AVE
MOUNT SHASTA, CA 96067
Case Manager/Care Coordinator
1107 REAM AVE
MOUNT SHASTA, CA 96067
Social Worker
1107 REAM AVE
MOUNT SHASTA, CA 96067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Fruttero's NPI number?

The NPI number for Jacqueline Fruttero is 1366638132. It was assigned to this individual provider in the NPPES registry on September 14, 2007.

Where is Jacqueline Fruttero located?

Jacqueline Fruttero practices at 1107 Ream Ave, Mount Shasta, CA 96067. The listed phone number is (530) 926-1436.

What is Jacqueline Fruttero's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jacqueline Fruttero was last updated on March 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.