Provider Demographics
NPI:1326188921
Name:FRIERSON, ANDREA RENEE (MED, QMHP, LPC)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:RENEE
Last Name:FRIERSON
Suffix:
Gender:F
Credentials:MED, QMHP, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1104 AMETRINE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:NC
Mailing Address - Zip Code:28034-9383
Mailing Address - Country:US
Mailing Address - Phone:704-747-7548
Mailing Address - Fax:704-864-9791
Practice Address - Street 1:1104 AMETRINE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:NC
Practice Address - Zip Code:28034-9383
Practice Address - Country:US
Practice Address - Phone:704-675-1266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-06
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional