Individual
DAVID FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NCC
Contact information
Practice address
12 CIDER MILL RD, PRESTON, CT 06365-8501
(860) 639-0603
Mailing address
12 CIDER MILL RD, PRESTON, CT 06365-8501
(860) 639-0603
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
003132
CT
101YP2500X
Professional Counselor
Primary
003132
CT
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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