Individual provider · Type 1 NPI

Phillip Fraser

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1922963289 Active

Practice location

1234 Travis Blvd
Fairfield, CA 94533-4802

Call (707) 399-9105 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1504870423 (CA)

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

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About NPI 1922963289

Phillip Fraser's National Provider Identifier is 1922963289, issued on Dec 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Dec 18, 2025.