Individual
MARTA FRASER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
4425 W OLIVE AVE STE 301, GLENDALE, AZ 85302-3851
(623) 267-1776
Mailing address
10823 W RUTH AVE, PEORIA, AZ 85345-2925
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-22794
AZ
Other
Enumeration date
08/20/2021
Last updated
11/04/2024
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