Provider Demographics
NPI:1306400692
Name:FRIEDMAN, RACHEL ELISE (LPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELISE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2243 N LAFAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5339
Mailing Address - Country:US
Mailing Address - Phone:912-222-1919
Mailing Address - Fax:
Practice Address - Street 1:4100 E MISSISSIPPI AVE STE 1300
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80246-3057
Practice Address - Country:US
Practice Address - Phone:303-771-4200
Practice Address - Fax:303-773-3402
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-23
Last Update Date:2019-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0015340101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional