Individual
KIMBERLY FRAZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CGACII
Contact information
Practice address
12350 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9320
(503) 303-4000
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C5193
OR
Other
Enumeration date
05/31/2011
Last updated
01/17/2024
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