Individual
EDEN MARIE FRYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1616 GRANT ST, PORTSMOUTH, OH 45662-3663
(740) 529-7356
Mailing address
6394 STATE ROUTE 93, IRONTON, OH 45638-8375
(740) 285-3398
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
140973
OH
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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