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NPI Code Detail

MEDICARE: MS. JENNIFER FRIA LPC

MEDICARE: MS. JENNIFER FRIA LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor37PC00603900NJ

General Provider Information

NPI Number : 1952812299
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JENNIFER FRIA LPC
Provider Business Mailing Address
First Line : 2544 STEARNS DR
Second Line :
City : MANASQUAN
State : NJ
Zip : 08736-2318
Country : US
Telephone Number : 732-567-2131
Fax Number :
Provider Business Practice Location Address
First Line : 36 SOUTH ST
Second Line :
City : MANASQUAN
State : NJ
Zip : 08736-3440
Country : US
Telephone Number : 732-223-4673
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2017
Last Update Date : 10/13/2017

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