Individual
THEO FRAZIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3750 18TH ST, SAN FRANCISCO, CA 94114-2614
(415) 241-6240
Mailing address
2563 CLAY ST, SAN FRANCISCO, CA 94115-1863
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
08/16/2024
Last updated
08/26/2024
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