Ida Bell Antionette Frazier, FAMILY CARE PROVIDER

NPI #1952979247 in El Reno, Oklahoma

Provider Information

NPI Number: 1952979247
Entity Type: Individual
Name: Ida Bell Antionette Frazier, FAMILY CARE PROVIDER
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: FAMILY CARE PROVIDER
Enumeration Date: Jun 14, 2021
Last Updated: Jun 14, 2021

Practice Location

Address: 7777 US RTE 66
City: El Reno
State: Oklahoma
ZIP Code: 73036
Phone: (405) 424-7711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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