Most Relevant Information
Provider Data
| NPI Number: | 1003175191 |
| Provider Name: | BRYAN DRAKE FRASER COUNSELOR |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/09/2012 |
| Last Updated: | 05/09/2012 |
Provider Practice Location
7600 GREENHAVEN DR
SACRAMENTO
CA
958315604
Practice Location Phone/Fax
| Phone: | 9164299030 |
| Fax: | 9164299029 |
Provider Mailing Location
7600 GREENHAVEN DR
SACRAMENTO
CA
958315604
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |