Individual provider · Type 1 NPI

Samuel Eric Fraser, PhD

Mental Health Counselor · Van Nuys, CA

NPI number 1356500920 Active

Practice location

7136 Haskell Ave, Suite 201
Van Nuys, CA 91406-4112

Call (626) 644-4746 Map

Fax (818) 888-7850

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XMFC23931 (CA)
Mental Health Counselor Primary 101YM0800XMFC23931 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1356500920

Samuel Eric Fraser, PhD's National Provider Identifier is 1356500920, issued on Jun 8, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Van Nuys, CA. The record was last updated on Jun 8, 2008.