Healthcare Provider Details

I. General information

NPI: 1215855358
Provider Name (Legal Business Name): JANNA M FROEMING
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JANNA ROSDAHL

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1776 BLUEJAY CT
FORTUNA CA
95540-3360
US

IV. Provider business mailing address

1776 BLUEJAY CT
FORTUNA CA
95540-3360
US

V. Phone/Fax

Practice location:
  • Phone: 707-601-3995
  • Fax:
Mailing address:
  • Phone: 707-601-3995
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: