Provider Demographics
NPI:1366973190
Name:FRIEDRICH, CHRISTOPHER (MA, LPC)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:
Last Name:FRIEDRICH
Suffix:
Gender:M
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:191 WOODPORT RD
Mailing Address - Street 2:SUITE 209
Mailing Address - City:SPARTA
Mailing Address - State:NJ
Mailing Address - Zip Code:07871-2607
Mailing Address - Country:US
Mailing Address - Phone:973-512-3700
Mailing Address - Fax:973-512-3701
Practice Address - Street 1:191 WOODPORT RD
Practice Address - Street 2:SUITE 209
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-2607
Practice Address - Country:US
Practice Address - Phone:973-512-3700
Practice Address - Fax:973-512-3701
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00536600101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health