| Mr Kentyah Fraser, MFT-I | |
|
204 Hampton Dr, Venice, CA 90291-2623 | |
| (310) 309-6001 | |
| (310) 449-9170 |
| Full Name | Mr Kentyah Fraser |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 204 Hampton Dr, Venice, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942612395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 78292 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Kentyah Fraser, MFT-I 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 309-6001 | Mr Kentyah Fraser, MFT-I 204 Hampton Dr, Venice, CA 90291-2623 Ph: (310) 309-6001 |
Jorge Guerreiro Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Patricia Guadalupe Rivas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 717 Lincoln Blvd., Venice, CA 90291 Phone: 310-399-9883 Fax: 310-399-9678 | |
Bannupriya Ramachandran, Counselor Medicare: Medicare Enrolled Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Quesean Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Mr. Henry R. Gray, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Ocean Front Walk, Venice, CA 90291 Phone: 310-392-3070 | |
Destiny Starlena Howell, MSW, MPH Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 310-396-6468 | |
Adriana Eversole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 204 Hampton Dr, Venice, CA 90291 Phone: 650-438-9060 |