Individual provider · Type 1 NPI
Darrell Fraize
Professional Counselor · Bridgton, ME
NPI number
1912329863
Active
Practice location
5 Hoyts Ridge Rd
Bridgton, ME 04009-1239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LC3515 (ME) |
| Professional Counselor Primary | 101YP2500X | CC3575 (ME) |
Professional Counselor: Definition to come...
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About NPI 1912329863
Darrell Fraize's National Provider Identifier is 1912329863, issued on Jan 13, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Bridgton, ME. The record was last updated on Jan 13, 2014.