Provider Demographics
NPI:1073710463
Name:FRIEDMAN, CATHY J (LCPC)
Entity Type:Individual
Prefix:MS
First Name:CATHY
Middle Name:J
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 KING FARM BLVD
Mailing Address - Street 2:APT. 203
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-6674
Mailing Address - Country:US
Mailing Address - Phone:301-208-2626
Mailing Address - Fax:301-208-2626
Practice Address - Street 1:315 KING FARM BLVD
Practice Address - Street 2:APT. 203
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-6674
Practice Address - Country:US
Practice Address - Phone:301-208-2626
Practice Address - Fax:301-208-2626
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC0225101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health