Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALLACE J FRASER JR., LCPC
Active Sole ProprietorWALLACE J FRASER JR., LCPC is a Mental Health Counselor healthcare provider located in HAMPDEN, Maine. NPI 1578790499 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · HAMPDEN, ME
Registration Details
- NPI Number
- 1578790499
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 18, 2009 (17.176246221175 yrs)
- Last Updated
- Dec 14, 2023
- License
-
CC3848 (ME)
- Sole Proprietor
- Yes
Practice Information
- Address
-
27 WILBUR DRHAMPDEN, ME, 044441420Browse ME providers · Browse ZIP 04444
- Phone
- 2077357136
- Fax
- 2074331462
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in HAMPDEN, ME
| Name | Credential | NPI |
|---|---|---|
| KELLY REDMOND | LCPC, LADC, CCS | 1639544398 |
| LOUISE ADELSTONE | — | 1265156947 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.