Individual
KIMBERLY GOULD FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
601 FARLEY DR, AUSTIN, TX 78753-3114
(704) 975-8613
Mailing address
6104 TOSCANA AVE, AUSTIN, TX 78724-6249
(512) 387-1398
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202865
—
Other
Enumeration date
05/19/2019
Last updated
08/16/2021
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