Individual
JACQUELINE FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPC-I
Contact information
Practice address
2740 S JONES BLVD, LAS VEGAS, NV 89146
(702) 248-8866
Mailing address
2740 S JONES BLVD, LAS VEGAS, NV 89146-5398
(702) 248-8866
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
CI0396
NV
225C00000X
Rehabilitation Counselor
Primary
—
—
Other
Enumeration date
02/10/2017
Last updated
10/16/2019
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