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Individual

DIANA FRIES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, LPCC

Contact information

Practice address
126 E GARLAND ST, LA VETA, CO 81055-5075
(402) 452-1586
Mailing address
PO BOX 822, LA VETA, CO 81055-0822
(402) 452-1586

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPCC.001828
CO
101YS0200X
School Counselor
265677
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
LPCC.0018928
DORA
CO
Enumeration date
10/17/2021
Last updated
10/17/2021
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