Provider Demographics
NPI:1164593968
Name:FRIES, BARBARA WALLS (MED, NCC, NCSC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:WALLS
Last Name:FRIES
Suffix:
Gender:F
Credentials:MED, NCC, NCSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 PALMCROFT DR SW
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85007-1737
Mailing Address - Country:US
Mailing Address - Phone:602-218-6769
Mailing Address - Fax:
Practice Address - Street 1:2615 S DORSEY LN
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-2768
Practice Address - Country:US
Practice Address - Phone:480-829-8002
Practice Address - Fax:480-829-6561
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool