Fry, Jacquelyn

Fry, Jacquelyn is an individual health care provider with primary practice located at 413 Teakwood Dr , Eagle Point OR 97524-6608. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Fry, Jacquelyn can be contacted via phone (337) 509-8607.

Contact Information

Primary practice address
413 Teakwood Dr Eagle Point OR 97524-6608
Phone: (337) 509-8607
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X A14436 Oregon

Profile Details

NPI number 1992218408
LBN Legal business name Fry, Jacquelyn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2017
Last updated Apr 17th, 2024 - about 2 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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