Provider Demographics
NPI:1598253767
Name:FRETZ, JARED PAUL (MA)
Entity Type:Individual
Prefix:MR
First Name:JARED
Middle Name:PAUL
Last Name:FRETZ
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1504 CHELTON AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15226-2434
Mailing Address - Country:US
Mailing Address - Phone:724-600-4716
Mailing Address - Fax:
Practice Address - Street 1:1380 OLD FREEPORT RD STE 2B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3127
Practice Address - Country:US
Practice Address - Phone:724-600-4716
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-24
Last Update Date:2019-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health