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Candace Fraser
Mental Health Counselor in Tampa, Florida
NPI 1265155642

Candace Fraser is a Mental Health Counselor based in Tampa, FL and is specialized in Mental Health. Candace Fraser practices in Tampa, FL. The NPI Number for Candace Fraser is 1265155642 and holds a License No. MH20673 (Florida).

The current practice location address for Candace Fraser is 5707 N 22Nd St, Tampa, FL and can be reached out via phone at 813-530-5682.

Location: 5707 N 22Nd St, Tampa, FL, 33610-4350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265155642
Provider Name
Candace Fraser
Credential
Provider Entity Type
Individual
Gender
Female
Address
5707 N 22Nd St, Tampa, FL, 33610-4350
Phone Number
813-530-5682
Fax Number
Provider Enumeration Date
09/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-530-5682
Fax Number
person
Provider Business Mailing Address Details
Address
5707 N 22Nd St
City
Tampa
State
Florida
Zip
33610-4350
Phone Number
813-530-5682
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MH20673 (Florida)
Definition
Definition to come...
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