Doctor Name: | MRS. JOY NADINE FRASIER |
NPI Number: | 1730457177 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, MA |
License Number: | LCSW#27466 |
Business Practice Address: | 220 Wilson Ln. Fortuna, CA - 95540 |
Business Phone Number: | 7076164182 |
Business Fax Number: | |
Mailing Address: | P.o. Box 561, FORTUNA |
State: | CA |
Postal Code: | 95540 |
Phone Number: | 7076164182 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2011 |
NPI Last Update Date: | 12/13/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LCSW#27466 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |