Individual
LORI FRIESTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIVPC, LMFT
Contact information
Practice address
3101 PERIMETER DR, JEFFERSONVILLE, IN 47130-8866
(502) 741-8425
Mailing address
3101 PERIMETER DR, JEFFERSONVILLE, IN 47130-8866
(502) 741-8425
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
35001619A
IN
106H00000X
Marriage & Family Therapist
KY-0668
KY
Other
Enumeration date
11/15/2007
Last updated
11/15/2007
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