Provider Demographics
NPI:1750305645
Name:FRIED, DRINA M (ED D MFT)
Entity Type:Individual
Prefix:DR
First Name:DRINA
Middle Name:M
Last Name:FRIED
Suffix:
Gender:F
Credentials:ED D MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 WESTBLUFF CT
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93305-1349
Mailing Address - Country:US
Mailing Address - Phone:661-395-1919
Mailing Address - Fax:888-521-5701
Practice Address - Street 1:120 WESTBLUFF CT
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-1349
Practice Address - Country:US
Practice Address - Phone:661-395-1919
Practice Address - Fax:888-521-5701
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT16854106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist