Individual
TIESHA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LCADC, LSATP
Contact information
Practice address
4102 6TH ST, RICHMOND, VA 23223-5512
(848) 275-9089
Mailing address
4102 6TH ST, RICHMOND, VA 23223-5512
(848) 275-9089
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0718000717
VA
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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