Individual provider · Type 1 NPI

Justin Nathaniel Fraser

Mental Health Counselor · Santa Clara, CA

NPI number 1265746507 Active

Practice location

2765 Homestead Rd
Santa Clara, CA 95051-5357

Call (408) 807-3317 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1265746507

Justin Nathaniel Fraser's National Provider Identifier is 1265746507, issued on Jul 28, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Clara, CA. The record was last updated on Jul 28, 2010.