Individual
MS. TINA LOUISE FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
937 29TH ST, ASHLAND, KY 41101-3021
(606) 244-0780
Mailing address
306 RIDGEVIEW DR, LAVALETTE, WV 25535-1704
(304) 633-8496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
268360
KY
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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