Individual
WALLACE J FRASER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
27 WILBUR DR, HAMPDEN, ME 04444-1420
(207) 735-7136
(207) 433-1462
Mailing address
27 WILBUR DR, HAMPDEN, ME 04444-1420
(207) 735-7136
(207) 614-7141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CC3848
ME
Other
Enumeration date
06/18/2009
Last updated
12/14/2023
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