Individual
MRS. HEIDI FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC,LMFT
Contact information
Practice address
8140 ASHTON AVE, SUITE 100, MANASSAS, VA 20109-5698
(703) 586-3597
Mailing address
6312 ADIRONDACK CT, GAINESVILLE, VA 20155-6630
(703) 586-3597
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701001764
VA
106H00000X
Marriage & Family Therapist
0717000325
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004945247
—
VA
05
—
004978277
—
VA
01
—
210245
BLUE CROSS BLUE SHIELD
VA
Enumeration date
10/25/2006
Last updated
01/02/2020
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