Provider Demographics
NPI:1336676238
Name:JAMIE R. FRIDDLE, MA, LMHC PLLC
Entity Type:Organization
Organization Name:JAMIE R. FRIDDLE, MA, LMHC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:FRIDDLE
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA, LMHC
Authorized Official - Phone:206-354-0627
Mailing Address - Street 1:2915 E MADISON ST STE 206
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-4252
Mailing Address - Country:US
Mailing Address - Phone:206-354-0627
Mailing Address - Fax:888-972-6550
Practice Address - Street 1:2915 E MADISON ST STE 206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4252
Practice Address - Country:US
Practice Address - Phone:206-354-0627
Practice Address - Fax:888-972-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60662077101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty