Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob David Bourne-Frazer

Individual provider Mental Health Counselor · NPI 1083337109

Jacob David Bourne-Frazer is a Mental Health Counselor in Rochester, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

100 Pinewild Dr Ste 2A
Rochester, NY 14606-4200
Phone: (585) 368-6700
Fax: (585) 368-6767
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1083337109
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 23, 2022
Last updated in NPPESJuly 25, 2023
Certification dateJuly 25, 2023

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