| Fraley & Associates, Pllc | |
|
504 Main St Suite 422 Lewiston ID 83501-1803 | |
| (509) 710-8171 | |
| (208) 247-9247 |
| Full Name | Fraley & Associates, Pllc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 504 Main St, Lewiston, Idaho |
| Authorized Official Name and Position | Lynn A Fraley (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5097108171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fraley & Associates, Pllc 504 Main St Suite 422 Lewiston ID 83501-1803 Ph: (509) 710-8171 | Fraley & Associates, Pllc 504 Main St Suite 422 Lewiston ID 83501-1803 Ph: (509) 710-8171 |
| NPI Number | 1518361229 |
|---|---|
| Provider Enumeration Date | 10/09/2014 |
| Last Update Date | 10/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518361229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCPC-3873 (Idaho) | Primary |
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