Individual provider · Type 1 NPI
Christopher Daniel Fraser
Addiction (Substance Use Disorder) Counselor · Clearlake Oaks, CA
NPI number
1891440194
Active
Practice location
14715 E. State Highway 20
Clearlake Oaks, CA 95423
Fax (707) 998-0122
Mailing address
PO Box 366
Clearlake Oaks, CA 95423-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12748 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1891440194
Christopher Daniel Fraser's National Provider Identifier is 1891440194, issued on Feb 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clearlake Oaks, CA. The record was last updated on Feb 15, 2022.