Individual
ANDREW MITCHELL FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
3921 VITAE SPRINGS RD S, SALEM, OR 97306-9742
(503) 930-8432
Mailing address
3921 VITAE SPRINGS RD S, SALEM, OR 97306-9742
(503) 930-8432
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
L11521
OR
Other
Enumeration date
11/29/2023
Last updated
11/29/2023
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