KELLY DANIELLE FRIDAY CATC; 112519
NPI 1790136364
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA

Active since June 24, 2016
235 W 9TH ST, SAN PEDRO, CA 90731(310) 521-9209(310) 521-9241 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Danielle Friday Catc; 112519 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY DANIELLE FRIDAY CATC; 112519 (NPI 1790136364) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (CATC 112519) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1790136364
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKELLY DANIELLE FRIDAYCredential: CATC; 112519
Location Address235 W 9TH STSan Pedro, CA 90731-3711
Mailing Address1729 S Meyler St, Apt 1San Pedro, CA 90731-4649 · (310) 831-9411 · Fax (310) 521-9241
Fax(310) 521-9241
Sole ProprietorYes
Enumeration DateJune 24, 2016
NPI 1790136364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in CA · CATC 112519
235 W 9TH ST, San Pedro, CA 90731

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
235 W 9TH ST
SAN PEDRO, CA 90731

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Friday's NPI number?

The NPI number for Kelly Friday is 1790136364. It was assigned to this individual provider in the NPPES registry on June 24, 2016.

Where is Kelly Friday located?

Kelly Friday practices at 235 W 9th St, San Pedro, CA 90731. The listed phone number is (310) 521-9209.

What is Kelly Friday's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Friday was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.