MEDICARE: MRS. KATHERINE EILEEN FRAZEE LCPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC6481	MD

General Provider Information

NPI Number	:	1548638042
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KATHERINE EILEEN FRAZEE LCPC

Provider Business Mailing Address
First Line	:	11411 BAKER RD
Second Line	:
City	:	KEYMAR
State	:	MD
Zip	:	21757-8119
Country	:	US
Telephone Number	:	240-446-9015
Fax Number	:

Provider Business Practice Location Address
First Line	:	1311 ORCHARD WAY
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21703-6090
Country	:	US
Telephone Number	:	240-446-9015
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/14/2015
Last Update Date	:	07/06/2016

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