Individual
MANUELA FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CACIII
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4507
(303) 602-2716
Mailing address
2709 S OAKLAND CIR W, AURORA, CO 80014-3121
(303) 550-9362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
7295
CO
Other
Enumeration date
05/06/2016
Last updated
05/06/2016
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