Provider Demographics
NPI:1215468236
Name:FRIEDMAN, DONNA (MS LPCI)
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:MS LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HADDRELL ST
Mailing Address - Street 2:
Mailing Address - City:MOUNT PLEASANT
Mailing Address - State:SC
Mailing Address - Zip Code:29464-4305
Mailing Address - Country:US
Mailing Address - Phone:843-743-4714
Mailing Address - Fax:
Practice Address - Street 1:100 HADDRELL ST
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:SC
Practice Address - Zip Code:29464-4305
Practice Address - Country:US
Practice Address - Phone:843-743-4714
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-22
Last Update Date:2017-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health