Individual
JACQUELINE DELISA FRIAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
21207 AVALON BLVD SPC D213, CARSON, CA 90745-2256
(310) 953-6811
Mailing address
21207 AVALON BLVD SPC D213, CARSON, CA 90745-2256
(310) 953-6811
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSB94026717
CA
Other
Enumeration date
03/17/2023
Last updated
03/17/2023
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