Individual
GERIANNA KNEELAND FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NCC, LPC-MHSP
Contact information
Practice address
13522 N FIELDS LN, OLIVE BRANCH, MS 38654-1079
(901) 857-7599
Mailing address
13522 N FIELDS LN, OLIVE BRANCH, MS 38654-1079
(901) 857-7599
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC010101
GA
101YM0800X
Mental Health Counselor
Primary
LPC5490
TN
Other
Enumeration date
02/12/2019
Last updated
03/01/2023
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