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Justin Nathaniel Fraser
Mental Health Counselor in Santa Clara, California
NPI 1265746507

Justin Nathaniel Fraser is a Mental Health Counselor based in Santa Clara, CA and is specialized in Mental Health. Justin Nathaniel Fraser practices in Santa Clara, CA. The NPI Number for Justin Nathaniel Fraser is 1265746507 and holds a License No. (California).

The current practice location address for Justin Nathaniel Fraser is 2765 Homestead Rd, Santa Clara, CA and can be reached out via phone at 408-807-3317.

Location: 2765 Homestead Rd, Santa Clara, CA, 95051-5357
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265746507
Provider Name
Justin Nathaniel Fraser
Credential
Provider Entity Type
Individual
Gender
Male
Address
2765 Homestead Rd, Santa Clara, CA, 95051-5357
Phone Number
408-807-3317
Fax Number
Provider Enumeration Date
07/28/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2765 Homestead Rd
City
Santa Clara
State
California
Zip
95051-5357
Phone Number
408-807-3317
Fax Number
person
Provider Business Mailing Address Details
Address
2765 Homestead Rd
City
Santa Clara
State
California
Zip
95051-5357
Phone Number
408-807-3317
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
(California)
Definition
Definition to come...
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