Individual
MRS. KRISTEN FRASER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., LPC, NCC
Contact information
Practice address
310 PAPER TRAIL WAY, SUITE 102, CANTON, GA 30115-5203
(770) 351-6674
Mailing address
310 PAPER TRAIL WAY, SUITE 102, CANTON, GA 30115-5203
(770) 351-6674
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005635
GA
Other
Enumeration date
08/31/2011
Last updated
11/06/2012
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