Healthcare Provider Details

I. General information

NPI: 1457580367
Provider Name (Legal Business Name): ABRAHAM FRIEDMAN MA, A.T.R.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2009
Last Update Date: 07/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1546 1ST ST
NAPA CA
94559-2841
US

IV. Provider business mailing address

894 2ND ST E
SONOMA CA
95476-7106
US

V. Phone/Fax

Practice location:
  • Phone: 707-224-8299
  • Fax: 707-253-8118
Mailing address:
  • Phone: 707-224-8299
  • Fax: 707-253-8118

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: