Individual provider · Type 1 NPI

Charles G. Fry, BA

Counselor · Mishawaka, IN

NPI number 1285923052 Active

Practice location

1411 Lincolnway W
Mishawaka, IN 46544-1626

Call (574) 259-5666 Map

Fax (574) 537-2652

Mailing address

PO Box 809
Goshen, IN 46527-0809

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1285923052

Charles G. Fry, BA's National Provider Identifier is 1285923052, issued on Apr 1, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mishawaka, IN. The record was last updated on Aug 1, 2011.