Individual
LOWELL LAWRENCE FRY JR.
Active
Individual
LOWELL LAWRENCE FRY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, MA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LICDC.161949
OH
101YP2500X
Professional Counselor
Primary
2020021862
MO
101YP2500X
Professional Counselor
E.1800740-SUPV
OH
Other
Enumeration date
09/13/2017
Last updated
05/28/2024
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