Wallace J Fraser Jr., LCPC
Wallace J Fraser Jr., LCPC is a Mental Health Counselor in Hampden, Maine. Qualified in 2009, 17 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Maine.
- Years since qualifying
- 17
- Licensed in
- ME
- In the registry since
- 2009
What do these letters mean?
- LCPC — Licensed Clinical Professional Counselor
- A licensed clinical counsellor.
Practice location Address checks out
27 Wilbur DrHampden, ME 04444-1420
Phone: (207) 735-7136
Fax: (207) 433-1462
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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 CC3848 (ME) |
|---|
Record details
| NPI number | 1578790499 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LCPC |
| Sole proprietor | Yes |
| NPI enumerated | June 18, 2009 |
| Last updated in NPPES | December 14, 2023 |
| Certification date | December 14, 2023 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2009 (17 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |