Individual
JESSICA FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC
Contact information
Practice address
34570 STATE HIGHWAY 10, HAMDEN, NY 13782-1120
(607) 832-5890
Mailing address
34570 STATE HIGHWAY 10, HAMDEN, NY 13782-1120
(607) 832-5890
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24811
NY
Other
Enumeration date
05/21/2015
Last updated
08/30/2016
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