Jimmy Frazier

NPI #1518168228 in Jackson, Mississippi

Provider Information

NPI Number: 1518168228
Entity Type: Individual
Name: Jimmy Frazier
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: May 30, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 3012 RIDGELAND DR
City: Jackson
State: Mississippi
ZIP Code: 39212-2519
Phone: (601) 572-3700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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