Provider Demographics
NPI:1982365334
Name:FRASER, HEATHER JEAN (LPC)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:JEAN
Last Name:FRASER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COPLEY PL APT B
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5286
Mailing Address - Country:US
Mailing Address - Phone:540-541-1551
Mailing Address - Fax:434-528-9716
Practice Address - Street 1:100 COPLEY PL APT B
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-5286
Practice Address - Country:US
Practice Address - Phone:540-541-1551
Practice Address - Fax:434-528-9716
Is Sole Proprietor?:No
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701011122101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional