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Ricardo Fraga
Mental Health Counselor in Meridian, Mississippi
NPI 1710281407

Ricardo Fraga is a Mental Health Counselor based in Meridian, MS and is specialized in Mental Health. Ricardo Fraga practices in Meridian, MS. The NPI Number for Ricardo Fraga is 1710281407 and holds a License No. 1329 (Mississippi).

The current practice location address for Ricardo Fraga is 4940 Hwy 39 N, Meridian, MS and can be reached out via phone at 601-483-2864 and via fax at 601-483-2806. You can also correspond with Ricardo Fraga through the mailing address at 2057A KNOX RD, MERIDIAN, MS - 39301-8814 (mailing address contact number: 601-917-0161).

Location: 4940 Hwy 39 N, Meridian, MS, 39301-8814
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Provider Profile Details
NPI Number
1710281407
Provider Name
Ricardo Fraga
Credential
Provider Entity Type
Individual
Gender
Male
Address
4940 Hwy 39 N, Meridian, MS, 39301-8814
Phone Number
601-483-2864
Fax Number
601-483-2806
Provider Enumeration Date
01/10/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1329 01 MS LICENSE
institution
Provider Business Practice Location Address Details
Address
4940 Hwy 39 N
City
State
Zip
39301-1019
Phone Number
601-483-2864
Fax Number
601-483-2806
person
Provider Business Mailing Address Details
Address
4940 Hwy 39 N
City
State
Zip
39301-1019
Phone Number
601-483-2864
Fax Number
601-483-2806
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
1329 (Mississippi)
Definition
Definition to come...
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