Fries, Diana

Fries, Diana is an sole proprietor health care provider with primary practice located at 126 E Garland St , La Veta CO 81055-5075. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fries, Diana can be contacted via phone (402) 452-1586.

Contact Information

Primary practice address
126 E Garland St La Veta CO 81055-5075
Phone: (402) 452-1586
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X 265677 Colorado
Behavioral Health & Social Service Providers / Professional 101YP2500X LPCC.001828 Colorado

Profile Details

NPI number 1467115485
LBN Legal business name Fries, Diana
Credentials MED, LPCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2021
Last updated Oct 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467115485 NPPES
Colorado Other LPCC.0018928 DORA

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