Individual
TAYAH LYNN FRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
110 MILTON LN, SAYLORSBURG, PA 18353-8090
(484) 226-7850
Mailing address
PO BOX 266, SAYLORSBURG, PA 18353-0266
(484) 226-7850
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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