Organization
FRALEY & ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYNN A FRALEY PHD (OWNER/CLINICAL DIRECTOR)
(509) 710-8171
Entity
Organization
Contact information
Practice address
504 MAIN ST, SUITE 422, LEWISTON, ID 83501-1803
(509) 710-8171
(208) 247-9247
Mailing address
504 MAIN ST, SUITE 422, LEWISTON, ID 83501-1803
(509) 710-8171
(208) 247-9247
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LCPC-3873
ID
Other
Enumeration date
10/09/2014
Last updated
10/09/2014
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