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DIANA FRIES MED, LPCC

School >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1467115485

Individual Registrant:
 DIANA  FRIES MED, LPCC
Gender: F
Sole Proprietor

Location and contact information for practice:
126 E GARLAND ST  LA VETA, CO 81055-5075 US
Tel: 402-452-1586  Fax: --

Contact information for business:
PO BOX 822  LA VETA, CO 81055-0822 US
Tel: 402-452-1586  Fax: --

Registration Information:
NPI: 1467115485
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YS0200XBehavioral Health & Social Service Providers
Counselor
School
CO265677
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
COLPCC.001828

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
DORALPCC.0018928CO01




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