Individual provider · Type 1 NPI

Timothy Allen Fry, CADC-CAS

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1881946176 Active

Practice location

1000A, 1010C Emeline Ave.
Santa Cruz, CA 95060-1900

Fax (831) 425-1847

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1881946176

Timothy Allen Fry, CADC-CAS's National Provider Identifier is 1881946176, issued on Oct 10, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 28, 2016.