Individual
MR. GREGORY FRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
323 SOUNDVIEW AVE, HOMER, AK 99603-7418
(907) 235-4123
Mailing address
PO BOX 2229, HOMER, AK 99603-2229
(907) 235-7486
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
AA0214
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AA0214
LMFT
AK
Enumeration date
11/07/2007
Last updated
11/07/2007
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