Provider Demographics
NPI:1275325839
Name:FRIDAY, SONIA V (CAPA-092)
Entity type:Individual
Prefix:
First Name:SONIA
Middle Name:V
Last Name:FRIDAY
Suffix:
Gender:F
Credentials:CAPA-092
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:ST STEPHENS
Mailing Address - State:WY
Mailing Address - Zip Code:82524-0190
Mailing Address - Country:US
Mailing Address - Phone:307-856-8090
Mailing Address - Fax:307-856-4477
Practice Address - Street 1:PO BOX 190
Practice Address - Street 2:
Practice Address - City:ST STEPHENS
Practice Address - State:WY
Practice Address - Zip Code:82524-0190
Practice Address - Country:US
Practice Address - Phone:307-856-8090
Practice Address - Fax:307-856-4477
Is Sole Proprietor?:No
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY092101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)