Individual
ANNMARIE EILEEN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13333 PALMDALE RD, VICTORVILLE, CA 92392-9364
(760) 487-3600
Mailing address
7128 SVL BOX, VICTORVILLE, CA 92395-5153
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
25175
CA
Other
Enumeration date
03/09/2026
Last updated
03/09/2026
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