Individual
RON FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC III, MSP, QMHP
Contact information
Practice address
239 E. ELLENDALE, SUITE 602, DALLAS, OR 97338
(503) 623-3593
Mailing address
1491 SW 10TH ST, DALLAS, OR 97338-2307
(949) 933-0742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10-06-56
OR
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
11/17/2011
Last updated
04/02/2014
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