Individual provider · Type 1 NPI

Beverly Jackson Frazier

Mental Health Counselor · Southgate, MI

NPI number 1083491823 Active

Practice location

14799 Dix Toledo Rd
Southgate, MI 48195-2507

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6401004160 (MI)

Mental Health Counselor: Definition to come...

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About NPI 1083491823

Beverly Jackson Frazier's National Provider Identifier is 1083491823, issued on Sep 14, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Southgate, MI. The record was last updated on Jan 12, 2024.