Individual
MS. PAULA JEAN FRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCAT
Contact information
Practice address
939 JOHNSON AVE, RONKONKOMA, NY 11779-6066
(631) 471-7242
(631) 471-5150
Mailing address
166 HAMPTON VISTA DR, MANORVILLE, NY 11949-2861
(631) 874-8618
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
000694
NY
221700000X
Art Therapist
Primary
000694
NY
Other
Enumeration date
07/11/2006
Last updated
04/25/2022
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