Darrell Fraize
Professional Counselor in Bridgton, ME(View on Map)
Full Name
Darrell Fraize
NPI Number
1912329863
NPI Type
Individual Provider
Gender
Male
Enumeration Date
01/13/2014
Specialties
(Taxonomies)Code
101YP2500X
101YA0400X
Primary Taxonomy
Yes
No
Licenses
State
Maine
Maine
License Number
CC3575
LC3515
Contact
Information
Purpose
Mailing
Location
Address
5 HOYTS RIDGE RD
5 HOYTS RIDGE RD
City
Bridgton
Bridgton
State
ME
ME
Postal Code
04009-1239
04009-1239
Country
US
US
Telephone Number
N/A
(207) 647-5629
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/13/2014
Provider Address
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Brian Newbury LCMHC, LCPC
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