Individual
MS. PATRICIA JOANN FRIEDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC BCC
Contact information
Practice address
8040 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1205
(952) 693-0080
(952) 955-6567
Mailing address
8040 OLD CEDAR AVE S STE 100, BLOOMINGTON, MN 55425-1205
(952) 693-0080
(952) 955-6567
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304163
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304163
LADC
MN
Enumeration date
12/13/2017
Last updated
05/21/2019
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