Individual
BETHANNE FRAZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3210 CHESTNUT STREET, PHILADELPHIA, PA 19104
(215) 895-1415
Mailing address
PO BOX 30781, PHILADELPHIA, PA 19104
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC015041
PA
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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