Provider Demographics
NPI:1619168085
Name:FRIEDMAN, DARON V (MA LCMHCLADC)
Entity Type:Individual
Prefix:MR
First Name:DARON
Middle Name:V
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MA LCMHCLADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CENTRAL SQ STE 281
Mailing Address - Street 2:
Mailing Address - City:KEENE
Mailing Address - State:NH
Mailing Address - Zip Code:03431-3703
Mailing Address - Country:US
Mailing Address - Phone:603-762-0268
Mailing Address - Fax:
Practice Address - Street 1:47 MAIN ST STE 4
Practice Address - Street 2:
Practice Address - City:KEENE
Practice Address - State:NH
Practice Address - Zip Code:03431-3715
Practice Address - Country:US
Practice Address - Phone:603-762-0268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-09
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH585101YA0400X
NH200101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)