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Beverly Jackson Frazier
Mental Health Counselor in Southgate, Michigan
NPI 1083491823

Beverly Jackson Frazier is a Mental Health Counselor based in Southgate, MI and is specialized in Mental Health. Beverly Jackson Frazier practices in Southgate, MI. The NPI Number for Beverly Jackson Frazier is 1083491823 and holds a License No. 6401004160 (Michigan).

The current practice location address for Beverly Jackson Frazier is 14799 Dix Toledo Rd, Southgate, MI and can be reached out via phone at 248-686-9634.

Location: 14799 Dix Toledo Rd, Southgate, MI, 48195-2507
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083491823
Provider Name
Beverly Jackson Frazier
Credential
Provider Entity Type
Individual
Gender
Female
Address
14799 Dix Toledo Rd, Southgate, MI, 48195-2507
Phone Number
248-686-9634
Fax Number
Provider Enumeration Date
09/14/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
248-686-9634
Fax Number
person
Provider Business Mailing Address Details
Address
14799 Dix Toledo Rd
City
Southgate
State
Michigan
Zip
48195-2507
Phone Number
248-686-9634
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
6401004160 (Michigan)
Definition
Definition to come...
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