Individual
MS. ELLEN FRIEDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
5039 GLADSTONE DR, CONWAY, SC 29526-2657
(315) 558-9353
Mailing address
5039 GLADSTONE DR, CONWAY, SC 29526-2657
(315) 558-9353
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
004287
NY
101YM0800X
Mental Health Counselor
004287
NY
101YP2500X
Professional Counselor
Primary
004287
NY
101YP2500X
Professional Counselor
8677
SC
Other
Enumeration date
07/18/2011
Last updated
12/01/2024
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