Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kentyah Fraser, MFT-I

Individual provider Mental Health Counselor · NPI 1942612395

Mr. Kentyah Fraser, MFT-I is a Mental Health Counselor in Venice, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

204 Hampton Dr
Venice, CA 90291-2623
Phone: (310) 309-6001
Fax: (310) 449-9170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 78292 (CA)

Record details

NPI number1942612395
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT-I
Sole proprietorYes
NPI enumeratedMay 20, 2014
Last updated in NPPESMay 20, 2014

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