Provider Demographics
NPI:1225334774
Name:FRIEL, NANCY (MFT)
Entity Type:Individual
Prefix:MS
First Name:NANCY
Middle Name:
Last Name:FRIEL
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2143 HURLEY WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3253
Mailing Address - Country:US
Mailing Address - Phone:916-922-5110
Mailing Address - Fax:916-922-5124
Practice Address - Street 1:2143 HURLEY WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3253
Practice Address - Country:US
Practice Address - Phone:916-922-5110
Practice Address - Fax:916-922-5124
Is Sole Proprietor?:No
Enumeration Date:2011-02-01
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC45178101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)