Eden Marie Frye, CDCA
Counselor, Addiction (Substance Use Disorder) in Portsmouth, OH. Individual provider (NPI-1).
NPI number1982199022
StatusActive
Last updated in NPPESJun 29, 2018
Details
- NPI
- 1982199022
- Entity type
- Individual (NPI-1)
- Name
- Eden Marie Frye
- Credential
- CDCA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 29, 2018
- Last updated
- Jun 29, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | 140973 | OH | Yes |
Practice location
1616 Grant StPortsmouth, OH 45662-3663
Phone 740-529-7356
Mailing address
6394 State Route 93Ironton, OH 45638-8375
Phone 740-285-3398
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