Individual provider · Type 1 NPI

Gary B. Fry, LCA066

Addiction (Substance Use Disorder) Counselor · Centreville, MD

NPI number 1174651251 Active

Practice location

205 N Liberty St
Centreville, MD 21617-1022

Fax (410) 758-2133

Mailing address

206 N Commerce St
Centreville, MD 21617-1049

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLCA066 (MD)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174651251

Gary B. Fry, LCA066's National Provider Identifier is 1174651251, issued on Mar 1, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Centreville, MD. The record was last updated on Jul 8, 2007.