Provider Demographics
NPI:1275660375
Name:FRIEND, RUTH MARIE (PCC)
Entity Type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:MARIE
Last Name:FRIEND
Suffix:
Gender:F
Credentials:PCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3409 JOHNSON RD
Mailing Address - Street 2:
Mailing Address - City:NORTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-6201
Mailing Address - Country:US
Mailing Address - Phone:330-760-6293
Mailing Address - Fax:216-927-4431
Practice Address - Street 1:3409 JOHNSON RD
Practice Address - Street 2:
Practice Address - City:NORTON
Practice Address - State:OH
Practice Address - Zip Code:44203-6201
Practice Address - Country:US
Practice Address - Phone:330-760-6293
Practice Address - Fax:216-927-4431
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3854101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional