TIMOTHY ALLEN FRY

SANTA CRUZ, CA
NPI1881946176
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-10-10
Last Update Date2016-01-28
Business Address
-- TIMOTHY ALLEN FRY CADC-CAS
1000A, 1010C EMELINE AVE.
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
Mailing Address
-- TIMOTHY ALLEN FRY CADC-CAS
1000A, 1010C EMELINE AVE.
SANTA CRUZ, CA 95060-1900
Phone number: 831-425-0112
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