Provider Demographics
NPI:1730150095
Name:FRIEDMAN, LISA B (LPC)
Entity type:Individual
Prefix:MS
First Name:LISA
Middle Name:B
Last Name:FRIEDMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1004 WESTWOOD DR NE
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22180-3645
Mailing Address - Country:US
Mailing Address - Phone:703-281-2804
Mailing Address - Fax:
Practice Address - Street 1:10520 WARWICK AVE
Practice Address - Street 2:B2
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-3100
Practice Address - Country:US
Practice Address - Phone:703-385-5992
Practice Address - Fax:703-591-8274
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001051101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health