Provider Demographics
NPI:1033489315
Name:FRIDDLE, JAMES ROBERT JR (MA, LMHC)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ROBERT
Last Name:FRIDDLE
Suffix:JR
Gender:M
Credentials:MA, LMHC
Other - Prefix:MR
Other - First Name:JAMIE
Other - Middle Name:R
Other - Last Name:FRIDDLE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:4445 TALBOT RD S
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-6219
Mailing Address - Country:US
Mailing Address - Phone:425-690-3414
Mailing Address - Fax:425-690-9414
Practice Address - Street 1:2915 E MADISON ST STE 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4252
Practice Address - Country:US
Practice Address - Phone:206-354-0627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-01-04
Last Update Date:2023-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60662077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health