Fraser, Kentyah

Fraser, Kentyah is an sole proprietor health care provider with primary practice located at 204 Hampton Dr , Venice CA 90291-2623. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fraser, Kentyah can be contacted via phone (310) 309-6001.

Contact Information

Primary practice address
204 Hampton Dr Venice CA 90291-2623
Phone: (310) 309-6001
Fax: (310) 449-9170
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 78292 California

Profile Details

NPI number 1942612395
LBN Legal business name Fraser, Kentyah
Credentials MFT-I
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2014
Last updated May 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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