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General NPI Number Information
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NPI Number | 1831591502
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Entity Type | Organization
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Legal Business Name | FRYER COUNSELING SERVICES
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 800 W HIGHWAY 290 BLDG D SUITE 300E
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-4191
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Country | US
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Telephone | 512-413-1598
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Fax |
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Provider Business Mailing Address
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Address Line | 800 W HIGHWAY 290 BLDG D SUITE 300E
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-4191
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Country | US
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Telephone | 512-413-1598
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER
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Name | MS. JENNIFER ELIZABETH FRYER
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Credential | LCSW
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Telephone | 512-413-1598
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 24240
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License Number State | TX
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