Individual provider · Type 1 NPI

Miranda Lee Frazer, FSP

Mental Health Counselor · Tishomingo, OK

NPI number 1578830980 Active

Practice location

512 E 24th St
Tishomingo, OK 73460

Call (580) 622-2783 Map

Mailing address

1488 Jenice Dr
Sulphur, OK 73086-1121

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1578830980

Miranda Lee Frazer, FSP's National Provider Identifier is 1578830980, issued on Nov 30, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tishomingo, OK. The record was last updated on Mar 29, 2019.