Provider Demographics
NPI:1093494577
Name:FRIEDMANN, ANGELICA (MFT, INTERN)
Entity type:Individual
Prefix:
First Name:ANGELICA
Middle Name:
Last Name:FRIEDMANN
Suffix:
Gender:F
Credentials:MFT, INTERN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10723 24TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-6677
Mailing Address - Country:US
Mailing Address - Phone:808-282-2501
Mailing Address - Fax:
Practice Address - Street 1:3430 SW 320TH ST STE D2
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-2292
Practice Address - Country:US
Practice Address - Phone:808-282-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist