Individual
BRUCE HOWARD FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
199 N BROAD ST STE 1, ADRIAN, MI 49221-2762
(517) 263-2191
(517) 264-6080
Mailing address
13213 VISCHER RD, BROOKLYN, MI 49230-9025
(517) 260-2015
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2-01434
MI
Other
Enumeration date
10/03/2013
Last updated
10/06/2016
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