MEDICARE: MRS. URSULA MICHELE FRISON M.S., LPC

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
1	101YS0200X	School Counselor	3496	NC

General Provider Information

NPI Number	:	1710005350
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. URSULA MICHELE FRISON M.S., LPC

Provider Business Mailing Address
First Line	:	2827 LEO DR
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27405-3331
Country	:	US
Telephone Number	:	336-358-0995
Fax Number	:

Provider Business Practice Location Address
First Line	:	6720 MCLEANSVILLE RD
Second Line	:
City	:	MC LEANSVILLE
State	:	NC
Zip	:	27301-9716
Country	:	US
Telephone Number	:	336-375-2525
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/08/2007

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