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Individual

LYNNE RAMONA FRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC-MHSP

Contact information

Practice address
2336 CONGRESS PKWY S, ATHENS, TN 37303-2820
(423) 507-0887
Mailing address
200 TECH CENTER DR, KNOXVILLE, TN 37912-2747
(865) 637-9711

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4822
TN
101YP2500X
Professional Counselor
4822
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q064329
TN
Enumeration date
09/04/2018
Last updated
04/24/2024
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