Provider Demographics
NPI:1770828196
Name:FRIEDMAN, CLAIRE KATHERINE (MFT)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:KATHERINE
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:321 FLORA LN
Mailing Address - Street 2:
Mailing Address - City:SCOTTS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95066-4976
Mailing Address - Country:US
Mailing Address - Phone:650-386-1372
Mailing Address - Fax:
Practice Address - Street 1:8030 SOQUEL AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95062-2096
Practice Address - Country:US
Practice Address - Phone:650-464-2315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-11
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA50468106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA50468OtherBOARD OF BEHAVIORAL SCIENCE