Individual provider · Type 1 NPI
Lyle R. Fried, CAP, ICADC
Addiction (Substance Use Disorder) Counselor · Port St. Lucie, FL
NPI number
1164175121
Active
Practice location
5785 NW Wesley Rd
Port St. Lucie, FL 34986-4207
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4805 (FL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1164175121
Lyle R. Fried, CAP, ICADC's National Provider Identifier is 1164175121, issued on Jan 31, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port St. Lucie, FL. The record was last updated on Mar 12, 2022.