| Doctor Name: | MR. KEITH FRAZIER |
| NPI Number: | 1588027593 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW-S, LCSW |
| License Number: | 0871 |
| Business Practice Address: | 418 Center St Wheelersburg, OH - 456941712 |
| Business Phone Number: | 7407762785 |
| Business Fax Number: | 7407762793 |
| Mailing Address: | 1544 Winchester Ave Ste 901, ASHLAND |
| State: | KY |
| Postal Code: | 411017932 |
| Phone Number: | 6063240052 |
| Fax Number: | 6063240053 |
| NPI Enumeration Date: | 03/29/2016 |
| NPI Last Update Date: | 03/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0871 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |