Individual
HUSSIAN FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
66 ADELAIDE ST APT 18, DETROIT, MI 48201-3111
(850) 200-7292
Mailing address
66 ADELAIDE ST APT 18, DETROIT, MI 48201-3111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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