Provider Demographics
NPI:1427202746
Name:FRISCH, STEVEN (LPC CT)
Entity Type:Individual
Prefix:MS
First Name:STEVEN
Middle Name:
Last Name:FRISCH
Suffix:
Gender:M
Credentials:LPC CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:36 SHEFFIELD ST
Mailing Address - Street 2:WELLPATH
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06704
Mailing Address - Country:US
Mailing Address - Phone:203-575-0466
Mailing Address - Fax:203-575-1817
Practice Address - Street 1:36 SHEFFIELD ST
Practice Address - Street 2:WELLPATH
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06704
Practice Address - Country:US
Practice Address - Phone:203-575-0466
Practice Address - Fax:203-575-1817
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2008-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000812101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor