Individual
CHRISTOPHER DANIEL FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14715 E. STATE HIGHWAY 20, CLEARLAKE OAKS, CA 95423
(707) 998-1800
(707) 998-0122
Mailing address
PO BOX 366, CLEARLAKE OAKS, CA 95423-0366
(707) 998-1800
(707) 998-0122
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12748
CA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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