MR. Kentyah Fraser, MFT-I
NPI #1942612395 in Venice, California
Provider Information
- NPI Number
- 1942612395
- Entity Type
- Individual
- Name
- MR. Kentyah Fraser, MFT-I
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MFT-I
- Enumeration Date
- May 20, 2014
- Last Updated
- May 20, 2014
Practice Location
- Address
- 204 HAMPTON DR
- City
- Venice
- State
- California
- ZIP Code
- 90291-2623
- Phone
- (310) 309-6001
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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