Doctor Name: | MR. JEFFREY G. FRIEDMAN |
NPI Number: | 1194996256 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW |
License Number: | L1667 |
Business Practice Address: | 1610 Thompson Rd Coos Bay, OR - 974202150 |
Business Phone Number: | 5412692986 |
Business Fax Number: | 5412697987 |
Mailing Address: | 1620 Thompson Rd, COOS BAY |
State: | OR |
Postal Code: | 974202150 |
Phone Number: | 5412692986 |
Fax Number: | 5412697987 |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | L1667 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |