NYREE DAWN FRAY-JACKSON


Address: 255 Stone Ridge Way, Covington, GA 30016-6946
Phone: 4072345390

NYREE DAWN FRAY-JACKSON (NPI# 1437467180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437467180
Entity Type Individual
Full Name NYREE DAWN FRAY-JACKSON
Credential LPC
Practice Address 255 Stone Ridge Way
Covington
GA 30016-6946
Practice Telephone 4072345390
Mailing Telephone 4072345390
Enumeration Date 2010-09-15
Last Update Date 2010-09-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LPC005852 GA Behavioral Health & Social Service Providers

Office Location

Street Address 255 STONE RIDGE WAY
City COVINGTON
State GA
Zip Code 30016-6946

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1609324789 Michael Anderson Counselor 75 Heaton Dr, Covington, GA 30016-0224 2016-09-16
1801252408 Ashelie Blankenship Counselor 19411 Helenbirg Rd, Suite 103, Covington, LA 70433-5199 2016-01-12
1871962753 Bridget Young Counselor 577 Huseman Ln, Covington, LA 70435-0580 2015-09-21
1528443371 Latoya N Wright Counselor 100 Winnstead Place, Covington, GA 30016 2015-07-22
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Competitor

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City COVINGTON
Zip Code 30016

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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