Individual
DOMYNYQUE FRYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
600 MEDICAL DR STE A&B, HAMPTON, VA 23666-1769
(757) 788-0600
Mailing address
809 ABERDEEN RD UNIT 9626, HAMPTON, VA 23670-1224
(757) 660-3157
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011954
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659424448
—
VA
Enumeration date
01/18/2023
Last updated
11/10/2023
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