Individual
MR. MARION EVERETTE FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC
Contact information
Practice address
203 S GRACE ST, ROCKY MOUNT, NC 27804-5604
(252) 442-0100
(252) 442-0106
Mailing address
4012 BENJAMIN CT, ROCKY MOUNT, NC 27803-1441
(252) 443-1953
(252) 442-0106
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
MHL-064-101
NC
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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