Organization
FRASER CLINICAL CONSULTATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE J FRASER JR. LCPC (COUNSELOR)
(207) 735-7136
Entity
Organization
Contact information
Practice address
27 WILBUR DR, HAMPDEN, ME 04444-1420
(207) 735-7136
Mailing address
27 WILBUR DR, HAMPDEN, ME 04444-1420
(207) 735-7136
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/01/2019
Last updated
01/11/2024
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