Individual provider · Type 1 NPI
Rebecca Nicole Fry, LLPC, CRC
Professional Counselor · West Bloomfield, MI
NPI number
1679104491
Active
Practice location
7932 Goshen Dr
West Bloomfield, MI 48322-5002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00116653 |
| Professional Counselor Primary | 101YP2500X | 6401018109 (MI) |
Professional Counselor: Definition to come...
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About NPI 1679104491
Rebecca Nicole Fry, LLPC, CRC's National Provider Identifier is 1679104491, issued on Jan 30, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in West Bloomfield, MI. The record was last updated on Jan 30, 2020.