Individual
DR. COLISHA MARLENE FRASIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DCE, LPC, NCC, GCDF
Contact information
Practice address
4603 OLEANDER DR, SUITES # 1 & 2, MYRTLE BEACH, SC 29577-5738
(843) 497-5240
(843) 497-1129
Mailing address
4603 OLEANDER DR, SUITES # 1 & 2, MYRTLE BEACH, SC 29577-5738
(843) 497-5240
(843) 497-1129
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
3440
SC
Other
Enumeration date
03/21/2013
Last updated
03/21/2013
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