Individual
DARRELL FRAIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 HOYTS RIDGE RD, BRIDGTON, ME 04009-1239
(207) 647-5629
Mailing address
5 HOYTS RIDGE RD, BRIDGTON, ME 04009-1239
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LC3515
ME
101YP2500X
Professional Counselor
Primary
CC3575
ME
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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