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Individual

DR. TODD FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2030 E COLLEGE WAY, OLATHE, KS 66062-1851
(913) 626-1387
Mailing address
2030 E COLLEGE WAY, OLATHE, KS 66062-1851
(913) 626-1387

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
LCMFT 680
KS
101YP2500X
Professional Counselor
Primary
LCPC 711
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010153428
BLUE SHIELD OF IDAHO
ID
01
Q5845
BLUE CROSS OF IDAHO
ID
Enumeration date
08/01/2006
Last updated
09/24/2009
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