Individual
CODY C FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13333 WEST RD APT 1114, HOUSTON, TX 77041-6141
(832) 671-2725
Mailing address
13333 WEST RD APT 1114, HOUSTON, TX 77041-6141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
83427
TX
101YM0800X
Mental Health Counselor
83427
TX
101YP2500X
Professional Counselor
Primary
83427
TX
Other
Enumeration date
11/08/2021
Last updated
11/11/2021
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