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Individual

MRS. RENEE FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CADC, QMHA, CRM, PSS

Contact information

Practice address
501 MAIN ST STE 301, KLAMATH FALLS, OR 97601-6035
(541) 281-9330
(541) 205-6000
Mailing address
PO BOX 1694, KLAMATH FALLS, OR 97601-0095
(541) 281-9330
(541) 205-6000

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
OR
171400000X
Health & Wellness Coach
20-CRM-268
OR
172V00000X
Community Health Worker
20-CRM-268
OR
174H00000X
Health Educator
175T00000X
Peer Specialist
20-CRM-268
OR
225800000X
Recreation Therapist
Primary
374K00000X
Religious Nonmedical Practitioner
NATIVE
OR
405300000X
Prevention Professional
20-CRM-268
OR

Other

Enumeration date
07/08/2020
Last updated
03/18/2026
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