Individual
MR. BRUCE FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC,LADC I
Contact information
Practice address
70 LINDSEY ST, NEW BEDFORD, MA 02740-3752
(508) 979-5617
Mailing address
70 LINDSEY ST, NEW BEDFORD, MA 02740-3752
(508) 979-5617
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
396
MA
101YM0800X
Mental Health Counselor
Primary
895
MA
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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