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Individual

DR. RENA MAE FRYE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D

Contact information

Practice address
3400 HARBOR AVE SW, STE 414; MAILBOX #409, SEATTLE, WA 98126-2394
(206) 683-7637
(206) 946-1318
Mailing address
3400 HARBOR AVE SW, STE 414; MAILBOX #409, SEATTLE, WA 98126-2394
(206) 683-7637

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LH00008917
WA
103TC0700X
Clinical Psychologist
Primary
PY60026306
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1092957
WA
Enumeration date
12/08/2008
Last updated
04/13/2017
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