Individual
DARRICK RYAN FRALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA I
Contact information
Practice address
1725 E 3RD ST, DAYTON, OH 45403-1850
(937) 387-6395
Mailing address
2396 CAREW AVE, KETTERING, OH 45420-3427
(937) 312-7342
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.165822
OH
Other
Enumeration date
12/13/2017
Last updated
01/11/2019
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