REBECCA S FRAZE LMHCA/LMHC SUDP NPI 1104345305

NPI Information

NPI: 1104345305
Provider Name: REBECCA S FRAZE, LMHCA/LMHC, SUDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2154 OREGON ST UNIT 54
SAINT HELENS, OR
ZIP 97051
Phone: (503) 397-1912
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Rebecca S Fraze, LMHCA/LMHC, SUDP is an addiction (substance use disorder) counselor in Saint Helens, OR. Rebecca S Fraze, LMHCA/LMHC, SUDP NPI is 1104345305. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2154 OREGON ST UNIT 54
SAINT HELENS, OR
ZIP 97051-387
Phone: (503) 397-1912

The enumeration date for this NPI number is 9/19/2017 and was last updated on 3/11/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	MC61204655	WASHINGTON	No
2	101YP2500X	Counselor	Professional	LC61463859	WASHINGTON	No
3	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP60315129	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	101YA0400X	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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