Individual
MR. DENNIS FRYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC-14505
Contact information
Practice address
211 E SIX FORKS RD, RALEIGH, NC 27609-7745
(919) 833-8899
Mailing address
211 E SIX FORKS RD, RALEIGH, NC 27609-7745
(919) 833-8899
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14505
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15066096
CAQH
NC
01
—
CADC-14505
NCSAPPB
NC
Enumeration date
01/19/2021
Last updated
01/19/2021
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