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Individual

REBECCA S FRAZE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, SUDP

Contact information

Practice address
2154 OREGON ST UNIT 54, SAINT HELENS, OR 97051-1387
(503) 397-1912
Mailing address
6505 216TH ST SW STE 100, MOUNTLAKE TERRACE, WA 98043-2089
(503) 397-1912

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60315129
WA
101YP2500X
Professional Counselor
Primary
LC61463859
WA

Other

Enumeration date
09/19/2017
Last updated
06/05/2024
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