Provider Demographics
NPI:1902055114
Name:FRIEDMAN, GABRIELLE CELINA
Entity Type:Individual
Prefix:MS
First Name:GABRIELLE
Middle Name:CELINA
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:ISH-SHALOM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3855 ORANGE CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80304-0734
Mailing Address - Country:US
Mailing Address - Phone:303-859-1825
Mailing Address - Fax:303-442-3563
Practice Address - Street 1:3855 ORANGE CT
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80304-0734
Practice Address - Country:US
Practice Address - Phone:303-859-1825
Practice Address - Fax:303-442-3563
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-11
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor