Individual
LESLIE WAYNE FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
105 N KENTUCKY AVE, CORBIN, KY 40701-1527
(606) 234-5009
Mailing address
105 NORTH KENTUCKY STREET, CORBIN, KY 40701-4119
(606) 234-5009
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
KY-1516
KY
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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