Individual
MR. KENNETH A FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5318 W FRIENDLY AVE, GREENSBORO, NC 27410-4349
(336) 292-6947
(336) 292-7409
Mailing address
5318 W FRIENDLY AVE, GREENSBORO, NC 27410-4349
(336) 292-6947
(336) 292-7409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195
V GROUP BCBS
NC
01
—
33713
IND BCBS
NC
Enumeration date
09/22/2006
Last updated
07/08/2007
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