Individual
MR. TRAVIS EUGENE FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
4614 E SHEA BLVD, SUITE D-250, PHOENIX, AZ 85028-3070
(602) 953-9070
Mailing address
39737 N HIGH NOON WAY, ANTHEM, AZ 85086-2376
(602) 316-7134
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-12149
AZ
Other
Enumeration date
03/09/2006
Last updated
02/04/2009
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