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NPI Code Detail

MEDICARE: MR. RYAN GENE FRYE LPC, LCAS, CCS

MEDICARE: MR. RYAN GENE FRYE LPC, LCAS, CCS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor4289NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1821106519
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RYAN GENE FRYE LPC, LCAS, CCS
Provider Business Mailing Address
First Line : 617 S GREEN ST
Second Line : SUITE 300
City : MORGANTON
State : NC
Zip : 28655-3517
Country : US
Telephone Number : 828-324-8187
Fax Number : 828-437-4999
Provider Business Practice Location Address
First Line : 617 S GREEN ST
Second Line : SUITE 300
City : MORGANTON
State : NC
Zip : 28655-3517
Country : US
Telephone Number : 828-324-8187
Fax Number : 828-437-4999
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2006
Last Update Date : 07/06/2011

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