| Doctor Name: | DR. COLISHA MARLENE FRASIER |
| NPI Number: | 1609118264 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DCE, LPC, NCC, GCDF |
| License Number: | 3440 |
| Business Practice Address: | 4603 Oleander Dr Suites # 1 & 2 Myrtle Beach, SC - 295775738 |
| Business Phone Number: | 8434975240 |
| Business Fax Number: | 8434971129 |
| Mailing Address: | 4603 Oleander Dr, Suites # 1 & 2 MYRTLE BEACH |
| State: | SC |
| Postal Code: | 295775738 |
| Phone Number: | 8434975240 |
| Fax Number: | 8434971129 |
| NPI Enumeration Date: | 03/21/2013 |
| NPI Last Update Date: | 03/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | 3440 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |