Provider Demographics
NPI:1376615930
Name:FRIAS, FERNANDO FRANCIS (MS)
Entity Type:Individual
Prefix:
First Name:FERNANDO
Middle Name:FRANCIS
Last Name:FRIAS
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2550 S YORK ST
Mailing Address - Street 2:302
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5252
Mailing Address - Country:US
Mailing Address - Phone:909-268-7397
Mailing Address - Fax:
Practice Address - Street 1:800 MERIDIAN DR
Practice Address - Street 2:AYLESWORTH BUILDING
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80523-0001
Practice Address - Country:US
Practice Address - Phone:970-491-7946
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health