Emily Victoria Fry, LPC-A, LCAS-A, NCC
Counselor, Mental Health in Clayton, NC. Individual provider (NPI-1).
NPI number1154844827
StatusActive
Last updated in NPPESOct 3, 2018
Details
- NPI
- 1154844827
- Entity type
- Individual (NPI-1)
- Name
- Emily Victoria Fry
- Credential
- LPC-A, LCAS-A, NCC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 25, 2017
- Last updated
- Oct 3, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | A13000 | NC | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | LCAS-23424 | NC |
Practice location
1699 Old Us 70 Hwy WClayton, NC 27520-6566
Phone 919-359-1699 · Fax 919-359-1697
Mailing address
1699 Old Us 70 Hwy WClayton, NC 27520-6566
Phone 919-359-1699 · Fax 919-359-1697
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