Male or Other

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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