Individual
ANGELA FRYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC, CDP
Contact information
Practice address
2156 PACIFIC AVE, TACOMA, WA 98402-3004
(253) 200-0505
Mailing address
1305 TACOMA AVE S, TACOMA, WA 98402-1903
(253) 396-5001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00004938
—
101YM0800X
Mental Health Counselor
Primary
LH61044551
WA
Other
Enumeration date
08/09/2017
Last updated
06/01/2020
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