Individual
AMBER D. FRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LIMHP
Contact information
Practice address
10060 REGENCY CIR, OMAHA, NE 68114-3732
(402) 354-1354
(402) 354-1363
Mailing address
PO BOX 3755, OMAHA, NE 68103-0755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1355
NE
101Y00000X
Counselor
2493
NE
101YM0800X
Mental Health Counselor
Primary
916
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025447000
—
NE
05
—
47068731711
—
NE
05
—
47068731762
—
NE
Enumeration date
08/24/2006
Last updated
06/11/2012
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