Individual provider · Type 1 NPI

Dale Anthony Fraser

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1699339051 Active

Practice location

16318 Jamaica Ave
Jamaica, NY 11432-4919

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1699339051

Dale Anthony Fraser's National Provider Identifier is 1699339051, issued on Apr 30, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Apr 30, 2019.