Provider Demographics
NPI:1710005350
Name:FRISON, URSULA MICHELE (MS, LPC)
Entity Type:Individual
Prefix:MRS
First Name:URSULA
Middle Name:MICHELE
Last Name:FRISON
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2827 LEO DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27405-3331
Mailing Address - Country:US
Mailing Address - Phone:336-358-0995
Mailing Address - Fax:
Practice Address - Street 1:6720 MCLEANSVILLE RD
Practice Address - Street 2:
Practice Address - City:MC LEANSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27301-9716
Practice Address - Country:US
Practice Address - Phone:336-375-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3496101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool