Provider Demographics
NPI:1205533437
Name:FRADIN, CLAIRE ISABELLE (LCMHCA)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:ISABELLE
Last Name:FRADIN
Suffix:
Gender:F
Credentials:LCMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 FLETCHER MARTIN RD
Mailing Address - Street 2:
Mailing Address - City:ALEXANDER
Mailing Address - State:NC
Mailing Address - Zip Code:28701-8122
Mailing Address - Country:US
Mailing Address - Phone:828-775-1736
Mailing Address - Fax:
Practice Address - Street 1:70 FLETCHER MARTIN RD
Practice Address - Street 2:
Practice Address - City:ALEXANDER
Practice Address - State:NC
Practice Address - Zip Code:28701-8122
Practice Address - Country:US
Practice Address - Phone:828-775-1736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health