Individual
AUDREY FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 N WHITMAN LN STE 140, LIBERTY LAKE, WA 99019-6034
(509) 443-5015
Mailing address
518 E NORA AVE, SPOKANE, WA 99207-2346
(717) 991-9655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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