person
Mr. Thomas Gaston Frye IV, CADCII
Addiction (Substance Use Disorder) Counselor in Springfield, Oregon
NPI 1598138257

Thomas Gaston Frye IV is an Addiction (Substance Use Disorder) Counselor based in Eugene, OR and is specialized in Addiction (Substance Use Disorder). Thomas Gaston Frye IV practices in Springfield, OR and has the professional credentials of CADCII. The NPI Number for Thomas Gaston Frye IV is 1598138257 and holds a License No. 16-R-09 (Oregon).

The current practice location address for Thomas Gaston Frye IV is 1651 Centennial Blvd, Springfield, OR and can be reached out via phone at 541-762-4532 and via fax at 541-726-2467.

Location: 1651 Centennial Blvd, Springfield, OR, 97402-5060
person
Provider Profile Details
NPI Number
1598138257
Provider Name
Thomas Gaston Frye IV
Credential
CADCII
Provider Entity Type
Individual
Gender
Male
Address
1651 Centennial Blvd, Springfield, OR, 97402-5060
Phone Number
541-762-4532
Fax Number
541-726-2467
Provider Enumeration Date
11/03/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5863 01 MO CERTIFIED RECIPROCAL ALCOHOL AND DRUG COUNSELOR
16-R-09 01 OR ADDICITION COUNSELING BOARD OF OREGON
institution
Provider Business Practice Location Address Details
Address
1651 Centennial Blvd
City
State
Zip
97477-3363
Phone Number
541-762-4532
Fax Number
541-726-2467
person
Provider Business Mailing Address Details
Address
1651 Centennial Blvd
City
State
Zip
97477-3363
Phone Number
541-762-4532
Fax Number
541-726-2467
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
16-R-09 (Oregon)
Definition
Definition to come...
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