Individual
RACHAEL FRYREAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CAC III
Contact information
Practice address
541 N LOGAN AVE, HAXTUN, CO 80731-2563
(970) 580-7435
(970) 580-7435
Mailing address
PO BOX 113, HAXTUN, CO 80731-0113
(970) 466-5659
(719) 982-7282
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAC-6180
CO
101YM0800X
Mental Health Counselor
0019645
CO
Other
Enumeration date
07/12/2012
Last updated
10/26/2025
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