Provider Demographics
NPI:1538200977
Name:FRIED, DANIT A (LCMHC)
Entity type:Individual
Prefix:
First Name:DANIT
Middle Name:A
Last Name:FRIED
Suffix:
Gender:F
Credentials:LCMHC
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 849
Mailing Address - Street 2:
Mailing Address - City:STOWE
Mailing Address - State:VT
Mailing Address - Zip Code:05672-0849
Mailing Address - Country:US
Mailing Address - Phone:802-371-4699
Mailing Address - Fax:802-225-7103
Practice Address - Street 1:234 MAPLE ST
Practice Address - Street 2:
Practice Address - City:STOWE
Practice Address - State:VT
Practice Address - Zip Code:05672-4248
Practice Address - Country:US
Practice Address - Phone:802-374-4699
Practice Address - Fax:802-225-7103
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT2695OtherBCBS