Individual
REBECCA NICOLE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC, CRC
Contact information
Practice address
7932 GOSHEN DR, WEST BLOOMFIELD, MI 48322-5002
(214) 536-4590
Mailing address
7932 GOSHEN DR, WEST BLOOMFIELD, MI 48322-5002
(214) 536-4590
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018109
MI
225C00000X
Rehabilitation Counselor
00116653
—
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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