Provider Demographics
NPI:1750862231
Name:FRAZIER, ANNE CHAMBERLAIN (MA, LPC)
Entity type:Individual
Prefix:MRS
First Name:ANNE
Middle Name:CHAMBERLAIN
Last Name:FRAZIER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:125 WAPPOO CREEK DR # A
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29412-2163
Mailing Address - Country:US
Mailing Address - Phone:843-532-6715
Mailing Address - Fax:
Practice Address - Street 1:125 WAPPOO CREEK DR # A
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29412-2163
Practice Address - Country:US
Practice Address - Phone:843-532-6715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-23
Last Update Date:2018-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4980101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional