Courtney Fraser, LPC
Individual provider Active NPI Mental Health Counselor · Windham, CT
NPI 1740730258 · NPPES record last updated Oct 7, 2016
Key facts
- NPI
- 1740730258
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 46.003027 (CT)
- Practice address
- 24 Cedar Hill
Windham, CT 06280 - Phone
- (860) 428-6540
- NPI assigned
- Oct 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46.003027 | CT | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 46.003027 | CT | Yes |
Addresses
Primary practice location
24 Cedar Hill
Windham, CT 06280
Mailing address
24 Cedar HL
Windham, CT 06280-1418
Other providers in Windham, CT
- Ashley Congdon
- Susan Esper Denegar
- Thomas Fraser
- Laura Kay Freeman
- Michelle Hayward
- Arlene Susan Hendricks
- Devon Hock
All providers in Windham, CT · Mental Health Counselor in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.