Individual
MS. SONIA FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. L/C.P.C. Q.P.
Contact information
Practice address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
(208) 733-7178
Mailing address
284 MARTIN ST, TWIN FALLS, ID 83301-4542
(208) 733-7186
(208) 733-7178
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4605
ID
Other
Enumeration date
10/01/2013
Last updated
10/01/2013
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