KENTYAH FRASER

VENICE, CA
NPI1942612395
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  78292)
Enumeration Date2014-05-20
Last Update Date2014-05-20
Business Address
Mr. KENTYAH FRASER MFT-I
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-309-6001
Mailing Address
Mr. KENTYAH FRASER MFT-I
204 HAMPTON DR
VENICE, CA 90291-2623
Phone number: 310-309-6001
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