Mr. Larry Frazier JR.
Pastoral Counselor Mental Health Counselor
4615 Mary Beth Blvd
Clinton
, Maryland 20735-9625
Mr. Larry Frazier JR.
Pastoral Counselor Mental Health Counselor
4615 Mary Beth Blvd
Clinton
, Maryland 20735-9625
(202) 246-1310
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About
Features
Specialties
- Mental Health Counselor
- Pastoral Counselor
Languages spoken
- English
Location
First Address
- Mr. Larry Frazier JR.
- 4615 Mary Beth Blvd
- Clinton, MD
- Zip : 20735-9625
- Phone : (202) 246-1310
Second Address
- Mr. Larry Frazier JR.
- 4615 Mary Beth Blvd
- Clinton, MD
- Zip : 20735-9625
- Phone : (202) 246-1310
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What type of doctor is Mr. Larry Frazier JR.
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Is Mr. Larry Frazier JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | MD | |
| Y | 101YP1600X | Pastoral Counselor | MD |
National Provider Identifier
| NPI | 1346866522 |
|---|---|
| Provider Name | Mr. Larry Frazier JR. |
| First Address | Clinton, MD 20735-9625 |
| Second Address | Clinton, MD 20735-9625 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2020 |
| Last Update Date | 23/06/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.